Provider Demographics
NPI:1003022724
Name:COMMUNITY MENTAL HEALTH COUNCIL, INC.
Entity Type:Organization
Organization Name:COMMUNITY MENTAL HEALTH COUNCIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:C
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-734-4033
Mailing Address - Street 1:8704 S CONSTANCE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-2746
Mailing Address - Country:US
Mailing Address - Phone:773-734-4033
Mailing Address - Fax:773-734-6447
Practice Address - Street 1:8704 S CONSTANCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2746
Practice Address - Country:US
Practice Address - Phone:773-734-4033
Practice Address - Fax:773-734-6447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No305S00000XManaged Care OrganizationsPoint of Service
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness