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Lydia Home Association
Emotionally Disturbed Childrens' Residential Treatment Facility in Evanston, Illinois
NPI 1962123901

Lydia Home Association is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Chicago, IL. Lydia Home Association practices in Evanston, IL. The NPI Number for Lydia Home Association is 1962123901 and holds a License No. (Illinois).

The current practice location address for Lydia Home Association is 1101 Washington St, Evanston, IL and can be reached out via phone at 847-424-2450. You can also correspond with Lydia Home Association through the mailing address at 4300 W IRVING PARK RD, CHICAGO, IL - 60641-2825 (mailing address contact number: 773-736-1447).

Location: 1101 Washington St, Evanston, IL, 60641-2825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962123901
Provider Name
Lydia Home Association
Credential
Provider Entity Type
Organization
Address
1101 Washington St, Evanston, IL, 60641-2825
Phone Number
847-424-2450
Fax Number
Provider Enumeration Date
09/08/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1101 Washington St
City
Evanston
State
Illinois
Zip
60202-1619
Phone Number
847-424-2450
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Washington St
City
Evanston
State
Illinois
Zip
60202-1619
Phone Number
847-424-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
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.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
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 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
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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