Provider Demographics
NPI:1801556964
Name:AFRICAN AMERICAN CHRISTIAN FOUNDATION
Entity type:Organization
Organization Name:AFRICAN AMERICAN CHRISTIAN FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:GYABAAH
Authorized Official - Last Name:GYABAAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:773-867-0635
Mailing Address - Street 1:6707 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1006
Mailing Address - Country:US
Mailing Address - Phone:708-848-1700
Mailing Address - Fax:708-848-3710
Practice Address - Street 1:6707 NORTH AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1006
Practice Address - Country:US
Practice Address - Phone:708-848-1700
Practice Address - Fax:708-848-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2022-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No253J00000XAgenciesFoster Care Agency
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No286500000XHospitalsMilitary Hospital
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No333300000XSuppliersEmergency Response System Companies
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No343800000XTransportation ServicesSecured Medical Transport (VAN)