Organization · Type 2 NPI

Kenneth Edwards

Community/Behavioral Health Agency · Chicago, IL

NPI number 1043764897 Active

Practice location

2133 W Thomas St
Chicago, IL 60622-3629

Call (214) 662-1060 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X180010430 (IL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1043764897

Kenneth Edwards's National Provider Identifier is 1043764897, issued on Aug 10, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 10, 2016.