CHILDHOOD TRAUMA TREATMENT PROGRAM
NPI 1881919488
Clinic/Center - Adolescent and Children Mental Health in Oak Lawn, IL

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

Active since April 07, 2010

4700 W 95TH ST, LL5, OAK LAWN, IL 60453(800) 216-1110(708) 346-4868 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Childhood Trauma Treatment Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDHOOD TRAUMA TREATMENT PROGRAM (NPI 1881919488) is a healthcare organization registered as an adolescent and children mental health in Oak Lawn, Illinois and active in the NPI registry since April 2010. The organization lists Gene S. Carroccia, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1881919488

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameCHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP

Location Address4700 W 95TH ST, LL5Oak Lawn, IL 60453-2533

Mailing AddressPo Box 776, Childhood Trauma Treatment ProgramOak Lawn, IL 60454-0776 · (800) 216-1110 · Fax (708) 346-4868

Phone(800) 216-1110

Fax(708) 346-4868

Organization SubpartYesParent: Family Care Network Of Advocate Health & Hospitals Corp.

Authorized OfficialGene S. CarrocciaClinical Director · (800) 216-1110

Enumeration DateApril 7, 2010

✔ NPI 1881919488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

4700 W 95TH ST, Oak Lawn, IL 60453

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