Project Vida, Inc.

LBN: Project Vida, Inc.
Project Vida, Inc. is an health care organization with primary practice located at 2659 S Kedvale Ave , Chicago IL 60623-4322. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Project Vida, Inc. can be contacted via phone (773) 277-2291, or through Montgomery, Jerome via phone (773) 277-2291.

Contact Information

Primary practice address
2659 S Kedvale Ave Chicago IL 60623-4322
Phone: (773) 277-2291
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Jerome
Phone: (773) 277-2291

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1285167577
LBN Legal business name Project Vida, Inc.
DBA Doing business as
Authorized official Montgomery, Jerome
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2017
Last updated Apr 4th, 2017 - about 8 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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