institution
Lydia Home Association
Emotionally Disturbed Childrens' Residential Treatment Facility in Chicago, Illinois
NPI 1235197583

Lydia Home Association is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Chicago, IL. Lydia Home Association practices in Chicago, IL. The NPI Number for Lydia Home Association is 1235197583 and holds a License No. (Illinois).

The current practice location address for Lydia Home Association is 4300 W Irving Park Rd, Chicago, IL and can be reached out via phone at 773-736-1447 and via fax at 773-736-5014.

Location: 4300 W Irving Park Rd, Chicago, IL, 60641-2825
institution
Provider Profile Details
NPI Number
1235197583
Provider Name
Lydia Home Association
Credential
Provider Entity Type
Organization
Address
4300 W Irving Park Rd, Chicago, IL, 60641-2825
Phone Number
773-736-1447
Fax Number
773-736-5014
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4300 W Irving Park Rd
City
State
Zip
60641-2825
Phone Number
773-736-1447
Fax Number
773-736-5014
person
Provider Business Mailing Address Details
Address
4300 W Irving Park Rd
City
State
Zip
60641-2825
Phone Number
773-736-1447
Fax Number
773-736-5014
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
062837 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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