OrganizationActive
Jamal Place, Inc.
NPI 1174574016 · Emotionally Disturbed Childrens' Residential Treatment Facility · Chicago, IL
Provider details
- NPI number
- 1174574016
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Brian Barclay, Tlp Director
- License
- 246705-05 (IL)
Practice location
1335 S California Ave
Chicago, IL 60608-1611
Phone: (773) 277-6631
Fax: (773) 277-7049
Mailing address
1335 S. California Ave
Chicago, IL 60608-1611
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.