Young Adult Program Diane'S House

LBN: The Thresholds
Young Adult Program Diane'S House is an health care organization with primary practice located at 2041 W Arthur Ave , Chicago IL 60645-5516. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. The Thresholds can be contacted via phone (773) 572-5500, or through Klauer, Marcella via phone (773) 572-5480.

Contact Information

Primary practice address
2041 W Arthur Ave Chicago IL 60645-5516
Phone: (773) 572-5500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klauer, Marcella
Phone: (773) 572-5480

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1346733698
LBN Legal business name The Thresholds
DBA Doing business as Young Adult Program Diane'S House
Authorized official Klauer, Marcella
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 12th, 2018
Last updated Jul 14th, 2022 - about 3 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 1346733698 NPPES
Illinois MEDICAID 04133

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