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 9 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 / Community/Behavioral Health, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Agencies / Community/Behavioral Health 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 / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1952914020
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 28th, 2020
Last updated Aug 28th, 2020 - about 5 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 1952914020 NPPES
Illinois Other IL7164001 MEDICARE
Illinois Other 695850 MEDICARE
Illinois Other IL7164 MEDICARE

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