DEBORAH'S 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.

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Contact Information

DEBORAH'S PLACE

2822 W JACKSON BLVD
CHICAGO, IL 60612-3653

Phone: 773-722-5080
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Behavioral Health	251S00000X
Case Management	251B00000X

Indicates primary specialty

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NPI Profile & details for DEBORAH'S PLACE

NPI Number 1427414135

LBN Legal business name DEBORAH'S PLACE

Authorized official KATHARINE BOOTON WILSON - (CHIEF STRATEGY OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/11/2016

Last updated 01/11/2016 - About 10 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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