Organization Name: | COMPASSION CILA HOMES INC, |
NPI Number: | 1194194175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDA BENJAMIN BASSEY (CEO) |
Mailing Address: | 304 Springfield St Park Forest |
State: | IL US |
Postal Code: | 604661145 |
Phone Number: | 7734192211 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2015 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 201500006C |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |