Organization · Type 2 NPI

Providence Center

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chicago, IL

NPI number 1417305897 Active

Practice location

4200 N Austin Ave
Chicago, IL 60634-1615

Call (773) 545-8300 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X2000404 (IL)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1417305897

Providence Center's National Provider Identifier is 1417305897, issued on May 26, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Chicago, IL. The record was last updated on May 26, 2016.