National Provider Identifier Database

DEBORAHS PLACE
Community/Behavioral Health

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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

DEBORAH'S PLACE
2822 W JACKSON BLVD
CHICAGO, IL60612-3653
Phone: 773-722-5080
Fax:
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Case Management 251B00000X

* Indicates primary specialty

NPI Profile & details for DEBORAH'S PLACE

NPI Number 1427414135
Legal business name
LBN
DEBORAH'S PLACE
Authorized official KATHARINE BOOTON WILSON - (CHIEF STRATEGY OFFICER)
Entity Organization
Organization subpart No
Enumeration date 01/11/2016
Last updated 01/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 149,015965
  • IL License #: 149.007559
  • IL License #: 149.011208
  • IL License #: 149.015965
  • IL License #: 149.016615
  • IL License #: 150.015350

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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