Childhood Trauma Treatment Program

LBN: Childhood Trauma Treatment Program Of Advocate Health & Hospitals Corp
Childhood Trauma Treatment Program is an health care organization with primary practice located at 4700 W 95Th St Ll5, Oak Lawn IL 60453-2533. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Childhood Trauma Treatment Program Of Advocate Health & Hospitals Corp can be contacted via phone (800) 216-1110, or through Carroccia, Gene S. via phone (800) 216-1110.

Contact Information

Primary practice address
4700 W 95Th St Ll5 Oak Lawn IL 60453-2533
Phone: (800) 216-1110
Fax: (708) 346-4868
Website:
Map and Directions
Authorized official contact:
Name: Carroccia, Gene S. PSY.D.
Phone: (800) 216-1110

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1881919488
LBN Legal business name Childhood Trauma Treatment Program Of Advocate Health & Hospitals Corp
DBA Doing business as Childhood Trauma Treatment Program
Authorized official Carroccia, Gene S. PSY.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2010
Last updated Apr 7th, 2010 - about 14 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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