Ucan

NPI #1124476726 in Chicago, Illinois

Provider Information

NPI Number: 1124476726
Entity Type: Organization
Organization Name: Ucan
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: May 25, 2016
Last Updated: Dec 22, 2016

Practice Location

Address: 3640 W FILLMORE ST
City: Chicago
State: Illinois
ZIP Code: 60624-4309
Phone: (773) 588-0180

Authorized Official

Name: JONATHAN STACY
Title: EXECUTIVE ASSISTANT
Phone: (773) 588-0180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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