institution
Kirby Johnson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chicago, Illinois
NPI 1679966949

Kirby Johnson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Chicago, IL. Kirby Johnson practices in Chicago, IL. The NPI Number for Kirby Johnson is 1679966949 and holds a License No. (Illinois).

The current practice location address for Kirby Johnson is 3807 N Leavitt St Apt 2, Chicago, IL and can be reached out via phone at 309-360-6268. You can also correspond with Kirby Johnson through the mailing address at 3807 N LEAVITT ST APT 2, CHICAGO, IL - 60618-3825 (mailing address contact number: 309-360-6268).

Location: 3807 N Leavitt St Apt 2, Chicago, IL, 60618-3825
institution
Provider Profile Details
NPI Number
1679966949
Provider Name
Kirby Johnson
Credential
Provider Entity Type
Organization
Address
3807 N Leavitt St Apt 2, Chicago, IL, 60618-3825
Phone Number
309-360-6268
Fax Number
Provider Enumeration Date
03/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3807 N Leavitt St Apt 2
City
State
Zip
60618-3825
Phone Number
309-360-6268
Fax Number
person
Provider Business Mailing Address Details
Address
3807 N Leavitt St Apt 2
City
State
Zip
60618-3825
Phone Number
309-360-6268
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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