Provider Demographics
NPI: | 1104109255 |
---|---|
Name: | SEARCH, INC. |
Entity type: | Organization |
Organization Name: | SEARCH, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | INTAKE MANAGER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | JESSICA |
Authorized Official - Middle Name: | CLAIRE |
Authorized Official - Last Name: | LEIGHTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MSW |
Authorized Official - Phone: | 847-789-7155 |
Mailing Address - Street 1: | 1925 N CLYBOURN AVE |
Mailing Address - Street 2: | SUITE 200 |
Mailing Address - City: | CHICAGO |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60614-4946 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 773-305-5000 |
Mailing Address - Fax: | 773-305-5739 |
Practice Address - Street 1: | 1925 N CLYBOURN AVE |
Practice Address - Street 2: | SUITE 200 |
Practice Address - City: | CHICAGO |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60614-4946 |
Practice Address - Country: | US |
Practice Address - Phone: | 773-305-5000 |
Practice Address - Fax: | 773-305-5739 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-09-26 |
Last Update Date: | 2011-09-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |