Childhood Trauma Treatment Program of Advocate Health & Hospitals Corp

NPI #1114242112 in Oak Lawn, Illinois

Provider Information

NPI Number: 1114242112
Entity Type: Organization
Organization Name: Childhood Trauma Treatment Program of Advocate Health & Hospitals Corp
Subpart: Yes (part of a larger organization)
Parent Organization: FAMILY CARE NETWORK OF ADVOCATE HEALTH & HOSPITALS CORP.
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Apr 1, 2010
Last Updated: Oct 27, 2022

Practice Location

Address: 4700 W 95TH ST STE LL5
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2575
Phone: (800) 216-1110

Authorized Official

Name: DR. SARA SKINNER, PSY.D
Title: CLINICAL MANAGER
Phone: (800) 216-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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