Organization · Type 2 NPI

Lydia Home Association

Emotionally Disturbed Childrens' Residential Treatment Facility · Chicago, IL

NPI number 1235197583 Active

Practice location

4300 W Irving Park Rd
Chicago, IL 60641-2825

Fax (773) 736-5014

Other practice locations

  • 1101 Washington St, Evanston, IL 60202-1619 · (847) 424-2450

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X062837 (IL)

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.

9 other providers at this address

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About NPI 1235197583

Lydia Home Association's National Provider Identifier is 1235197583, issued on May 3, 2006. 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 Jun 24, 2022.