Organization · Type 2 NPI

The Thresholds

Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL

NPI number 1104073329 Active

Practice location

4734 S Ellis Ave
Chicago, IL 60615-1808

Call (773) 572-5500 Map

Fax (773) 537-3488

Mailing address

4101 N Ravenswood Ave
Chicago, IL 60613-2193

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1104073329
Entity type: Organization (Type 2)
Issued: Aug 19, 2008
Last updated: May 6, 2025
Status: Active
Subpart: Yes of The Thresholds

Other names

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Homeless Outreach Program Safe Haven · doing business as
Homeless Outreach Program Safe Haven · other name

Authorized official

Marcella Klauer
Executive Assistant
(773) 572-5480

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104073329

The Thresholds's National Provider Identifier is 1104073329, issued on Aug 19, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on May 6, 2025.