Organization · Type 2 NPI

Fagan Psychotherapy PLLC

Community/Behavioral Health Agency · Evanston, IL

NPI number 1104511104 Active

Practice location

2605 Prairie Ave Apt 18
Evanston, IL 60201-1496

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

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 1104511104

Fagan Psychotherapy PLLC's National Provider Identifier is 1104511104, issued on Apr 6, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Evanston, IL. The record was last updated on Apr 6, 2023.