Organization · Type 2 NPI

Ibukun Comprehensive Community Services, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Chicago, IL

NPI number 1386920221 Active

Practice location

6752 S Perry Ave
Chicago, IL 60621-3714

Call (773) 994-6125 Map

Fax (773) 994-6135

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X180004168 (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.

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About NPI 1386920221

Ibukun Comprehensive Community Services, Inc.'s National Provider Identifier is 1386920221, issued on Oct 24, 2011. 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 Oct 24, 2011.