Organization · Type 2 NPI

Lawrence Hall Youth Services

Emotionally Disturbed Childrens' Residential Treatment Facility · Chicago, IL

NPI number 1699030213 Active

Practice location

1609 W Jarvis Ave
Chicago, IL 60626-1912

Call (773) 728-2807 Map

Fax (773) 728-0751

Mailing address

2737 W Peterson Ave
Chicago, IL 60659-3927

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000X12057909 (IL)
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X12057909 (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 1699030213

Lawrence Hall Youth Services's National Provider Identifier is 1699030213, issued on Jul 10, 2012. 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 10, 2012.