Bobby E. Wright Comprehensive Behavioral Health Center, Inc.

LBN: Bobby E. Wright Comprehensive Behavioral Health Center, Inc.
Bobby E. Wright Comprehensive Behavioral Health Center, Inc. is an health care organization with primary practice located at 5090 W Harrison St , Chicago IL 60644-5141. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Bobby E. Wright Comprehensive Behavioral Health Center, Inc. can be contacted via phone (773) 722-7900, or through Edwards, Simone via phone (773) 722-7900.

Contact Information

Primary practice address
5090 W Harrison St Chicago IL 60644-5141
Phone: (773) 722-7900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Simone
Phone: (773) 722-7900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1184237323
LBN Legal business name Bobby E. Wright Comprehensive Behavioral Health Center, Inc.
DBA Doing business as
Authorized official Edwards, Simone
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2020
Last updated Aug 27th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184237323 NPPES
Illinois Other 695850 MEDICARE PIN
Illinois Other IL7164 MEDICARE PIN
Illinois Other IL7164001 MEDICARE PIN

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