OrganizationActive
Lawrence Hall Youth Services
NPI 1699030213 · Emotionally Disturbed Childrens' Residential Treatment Facility · Chicago, IL
Provider details
- NPI number
- 1699030213
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mark Nufer, Chief Financial Officer(773) 728-2807
- License
- 12057909 (IL)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 12057909 (IL)
Residential Treatment Facilities
Agencies
Practice location
1609 W Jarvis Ave
Chicago, IL 60626-1912
Phone: (773) 728-2807
Fax: (773) 728-0751
Approximate (ZIP-level) locationGet directions
Mailing address
2737 W Peterson Ave
Chicago, IL 60659-3927
Registry dates
- Enumerated
- 2012-07-10
- Last updated
- 2012-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.