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Kenneth Edwards
Community/Behavioral Health Agency in Chicago, Illinois
NPI 1043764897

Kenneth Edwards is a Community/Behavioral Health Agency based in Chicago, IL. Kenneth Edwards practices in Chicago, IL. The NPI Number for Kenneth Edwards is 1043764897 and holds a License No. 180010430 (Illinois).

The current practice location address for Kenneth Edwards is 2133 W Thomas St, Chicago, IL and can be reached out via phone at 214-662-1060.

Location: 2133 W Thomas St, Chicago, IL, 60622-3629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043764897
Provider Name
Kenneth Edwards
Credential
Provider Entity Type
Organization
Address
2133 W Thomas St, Chicago, IL, 60622-3629
Phone Number
214-662-1060
Fax Number
Provider Enumeration Date
08/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2133 W Thomas St
City
Chicago
State
Illinois
Zip
60622-3629
Phone Number
214-662-1060
Fax Number
person
Provider Business Mailing Address Details
Address
2133 W Thomas St
City
Chicago
State
Illinois
Zip
60622-3629
Phone Number
214-662-1060
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
180010430 (Illinois)
Definition
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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