OrganizationActive
Bloom Family Services
NPI 1619809738 · Adolescent and Children Mental Health Clinic/Center · Maywood, IL
Provider details
- NPI number
- 1619809738
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lakita Kent, Executive Director(773) 676-9600
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
1701 S 1st Ave Ste 204c
Maywood, IL 60153-2400
Phone: (773) 676-6900
Approximate (ZIP-level) locationGet directions
Mailing address
1701 S 1st Ave Ste 204c
Maywood, IL 60153-2400
Registry dates
- Enumerated
- 2026-06-02
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.