BOBBY E WRIGHT CCMHC
NPI 1831367036
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About BOBBY E WRIGHT CCMHC
This page provides the complete NPI Profile along with additional information for Bobby E Wright Ccmhc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1831367036 assigned on February 2008. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Simone Edwards (Cfo)
- NPI
- 1831367036 Verify this NPI
- Provider Name
- BOBBY E WRIGHT CCMHC
- Entity Type
- Organization
- Location Address
- 3525 W JACKSON BLVD CHICAGO, IL 60624
- Location Phone
- (773) 722-7900
- Location Fax
- (773) 722-0644
- Mailing Address
- 5002 W MADISON ST CHICAGO, IL 60644
- Mailing Phone
- (773) 722-7900
- Mailing Fax
- (773) 722-0644
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-11-2008
- Last Update Date
- 08-21-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 251S00000X | Agencies | Community/Behavioral Health | |
| 3 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | (IL) |
| 4 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831367036, enumerated as an "organization" on February 11, 2008.
The provider is located at 3525 W JACKSON BLVD CHICAGO, IL 60624 and the phone number is (773) 722-7900.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
