CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP – NPI #1881919488
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP is an AHC clinic located in OAK LAWN, IL. NPPES has assigned the NPI number 1881919488 to CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP on April 07, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP is also known by the name CHILDHOOD TRAUMA TREATMENT PROGRAM. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP below.

NPI Profile for
CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP

NPI Number
1881919488
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP
Other Name: CHILDHOOD TRAUMA TREATMENT PROGRAM
Primary location
4700 W 95TH ST
LL5
OAK LAWN, IL 60453-2533
Phone: (800) 216-1110 Fax: (708) 346-4868
Mailing address
PO BOX 776
CHILDHOOD TRAUMA TREATMENT PROGRAM
OAK LAWN, IL 60454-0776
Phone: (800) 216-1110 Fax: (708) 346-4868
Organization Subpart
Yes - CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP is subpart of another organization.
Authorized Official
GENE CARROCCIA
CLINICAL DIRECTOR
Phone: (800) 216-1110
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.