Organization · Type 2 NPI

State of Mind Mental Health & Consultation Services P.c.

Community/Behavioral Health Agency · Chicago, IL

NPI number 1457685604 Active

Practice location

400 E 41st St, Suite 101A
Chicago, IL 60653-3071

Call (773) 285-0804 Map

Fax (773) 285-0804

Mailing address

17911 Los Angeles Ave
Homewood, IL 60430-1509

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X180006065 (IL)

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 1457685604

State of Mind Mental Health & Consultation Services P.c.'s National Provider Identifier is 1457685604, issued on Sep 21, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 21, 2009.