Organization · Type 2 NPI

Paul J. Detaege, Lcsw, P.c.

Community/Behavioral Health Agency · Chicago, IL

NPI number 1861780025 Active

Practice location

5215 N Ravenswood Ave, Suite 314
Chicago, IL 60640-1668

Call (773) 988-4965 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X149008180 (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 1861780025

Paul J. Detaege, Lcsw, P.c.'s National Provider Identifier is 1861780025, issued on Jul 20, 2011. 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 Jul 20, 2011.