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Paul J. Detaege, Lcsw, P.c.
Community/Behavioral Health Agency in Chicago, Illinois
NPI 1861780025

Paul J. Detaege, Lcsw, P.c. is a Community/Behavioral Health Agency based in Chicago, IL. Paul J. Detaege, Lcsw, P.c. practices in Chicago, IL. The NPI Number for Paul J. Detaege, Lcsw, P.c. is 1861780025 and holds a License No. 149008180 (Illinois).

The current practice location address for Paul J. Detaege, Lcsw, P.c. is 5215 N Ravenswood Ave, Chicago, IL and can be reached out via phone at 773-988-4965.

Location: 5215 N Ravenswood Ave, Chicago, IL, 60640-1668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861780025
Provider Name
Paul J. Detaege, Lcsw, P.c.
Credential
Provider Entity Type
Organization
Address
5215 N Ravenswood Ave, Chicago, IL, 60640-1668
Phone Number
773-988-4965
Fax Number
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598887580 01 IL TYPE 1 NPI
institution
Provider Business Practice Location Address Details
Address
5215 N Ravenswood Ave
City
Chicago
State
Illinois
Zip
60640-1668
Phone Number
773-988-4965
Fax Number
person
Provider Business Mailing Address Details
Address
5215 N Ravenswood Ave
City
Chicago
State
Illinois
Zip
60640-1668
Phone Number
773-988-4965
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
149008180 (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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