institution
Embodied Change, Inc
Adult Mental Health Clinic/Center in Chicago, Illinois
NPI 1730656000

Embodied Change, Inc is an Adult Mental Health Clinic/Center based in Chicago, IL and is specialized in Adult Mental Health. Embodied Change, Inc practices in Chicago, IL. The NPI Number for Embodied Change, Inc is 1730656000 and holds a License No. (Illinois).

The current practice location address for Embodied Change, Inc is 4055 W Peterson Ave Ste 104, Chicago, IL and can be reached out via phone at 773-726-7290.

Location: 4055 W Peterson Ave Ste 104, Chicago, IL, 60646-6520
institution
Provider Profile Details
NPI Number
1730656000
Provider Name
Embodied Change, Inc
Credential
Provider Entity Type
Organization
Address
4055 W Peterson Ave Ste 104, Chicago, IL, 60646-6520
Phone Number
773-726-7290
Fax Number
Provider Enumeration Date
10/25/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316219892 05 IL
institution
Provider Business Practice Location Address Details
Address
4055 W Peterson Ave Ste 104
City
State
Zip
60646-6183
Phone Number
773-726-7290
Fax Number
person
Provider Business Mailing Address Details
Address
4055 W Peterson Ave Ste 104
City
State
Zip
60646-6183
Phone Number
773-726-7290
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult 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 adults.
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