Provider Demographics
NPI:1245743657
Name:FAMILY FOCUS INC.
Entity Type:Organization
Organization Name:FAMILY FOCUS INC.
Other - Org Name:FAMILY FOCUS ENGLEWOOD
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT OF CENTERS
Authorized Official - Prefix:MS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESPEUT
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:773-962-0366
Mailing Address - Street 1:310 S PEORIA ST STE 301
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3534
Mailing Address - Country:US
Mailing Address - Phone:773-540-1005
Mailing Address - Fax:312-421-8185
Practice Address - Street 1:6727 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60636-2414
Practice Address - Country:US
Practice Address - Phone:773-962-0366
Practice Address - Fax:773-962-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health