Lydia Home Association

NPI #1235197583 in Chicago, Illinois

Provider Information

NPI Number
1235197583
Entity Type
Organization
Organization Name
Lydia Home Association
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
May 3, 2006
Last Updated
Jun 24, 2022

Practice Location

Address
4300 W IRVING PARK RD
ZIP Code
60641-2825
Phone
(773) 736-1447

Authorized Official

Name
MR. DAVID KARL ANDERSON, PSYD
Title
EXECUTIVE DIRECTOR
Phone
(773) 736-1447

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Residential Treatment Facility, Emotionally Disturbed Children

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