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General NPI Number Information
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NPI Number | 1770057978
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Entity Type | Organization
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Legal Business Name | FAMILY FOCUS INC.
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 6727 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60636-2414
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Country | US
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Telephone | 773-962-0366
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Fax | 773-962-0966
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Provider Business Mailing Address
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Address Line | 310 S PEORIA ST STE 301
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City | CHICAGO
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State | IL
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Zip | 60607-3534
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Country | US
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Telephone | 818-531-2421
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | CARLETTE SCOTT
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Credential |
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Telephone | 773-962-0366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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