Provider Demographics
NPI:1831485739
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:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:COMPTON
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 1:7133 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60636-3614
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:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL04033320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness