Providence Center
Providence Center is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
4200 N Austin AveChicago, IL 60634-1615
Phone: (773) 545-8300
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 2000404 (IL) |
|---|
Record details
| NPI number | 1417305897 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Mary of Providence |
| Authorized official | Charleen Badiola — Director · (773) 545-8300 |
| NPI enumerated | May 26, 2016 |
| Last updated in NPPES | May 26, 2016 |
| Mailing address | 4200 N Austin Ave, Chicago, IL 60634-1615 |
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