Provider Demographics
NPI:1467839068
Name:THE CHILD PROJECT
Entity Type:Organization
Organization Name:THE CHILD PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEODIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:SR
Authorized Official - Credentials:EDD
Authorized Official - Phone:773-875-5027
Mailing Address - Street 1:PO BOX 528193
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-8193
Mailing Address - Country:US
Mailing Address - Phone:773-875-5027
Mailing Address - Fax:
Practice Address - Street 1:4139 W 81ST ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-2934
Practice Address - Country:US
Practice Address - Phone:773-875-5027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health