Organization · Type 2 NPI
Bobby E Wright Ccmhc
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1831367036
Active
Practice location
3525 W Jackson Blvd
Chicago, IL 60624-3255
Fax (773) 722-0644
Mailing address
5002 W Madison St
Chicago, IL 60644-4127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1831367036
Bobby E Wright Ccmhc's National Provider Identifier is 1831367036, issued on Feb 11, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Aug 21, 2020.