NPI | 1932598893 |
---|---|
Former Legal Business Name | SOS CHILDREN'S VILLAGES ILLINOIS |
Entity Type | Organization |
Authorized Contact | GLORIA MARIN COCKERILL Director Of Behavioral Health 312-243-1901 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency (Licence: IL 198705) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2025-09-05 |