Back to Search

PROVIDENCE CENTER

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

NPI: 1417305897Organization

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary

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

Code: 320900000X

2000404(IL)

Contact & Hours

Address
4200 N AUSTIN AVE
CHICAGO, IL 60634

Quick Facts

NPI
1417305897
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

Are you this provider?

Claim Your Profile