Organization · Type 2 NPI

Lakeside Community Committee

Adolescent and Children Mental Health Clinic/Center · Chicago, IL

NPI number 1003656752 Active

Practice location

7418 S Cottage Grove Ave
Chicago, IL 60619-1912

Fax (773) 224-9468

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1003656752

Lakeside Community Committee's National Provider Identifier is 1003656752, issued on May 30, 2024. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Chicago, IL. The record was last updated on May 30, 2024.