Organization · Type 2 NPI

The Thresholds

Emotionally Disturbed Childrens' Residential Treatment Facility · Chicago, IL

NPI number 1114684131 Active

Practice location

3016 W Gunnison St
Chicago, IL 60625-4302

Call (773) 572-5500 Map

Fax (773) 572-5240

Mailing address

4101 N Ravenswood Ave
Chicago, IL 60613-2193

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Another provider at this address

The ThresholdsMental Health Clinic/Center (Including Community Mental Health Center) Chicago, IL NPI 1194361717

Other emotionally disturbed childrens' residential treatment facility providers in Chicago

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NPI record

NPI: 1114684131
Entity type: Organization (Type 2)
Issued: Nov 24, 2021
Last updated: Jul 14, 2022
Status: Active
Subpart: Yes of The Thresholds

Other names

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Young Adult Program Hart House · doing business as
Young Adult Program Hart House · doing business as
Young Adult Program Hart House · other name

Authorized official

Marcella Klauer
Executive Assistant, Quality Team
(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 1114684131

The Thresholds's National Provider Identifier is 1114684131, issued on Nov 24, 2021. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 14, 2022.