Lake County Behavioral Health in Waukegan - Community/behavioral Health
Lake County Behavioral Health - NPI 1538380670
Lake County Behavioral Health is a Community/behavioral Health in Waukegan, Illinois. Lake County Behavioral Health practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Lake County Behavioral Health is 1538380670. The last update date is 2022-07-21.
Lake County Behavioral Health's current location address is 3012 Grand Ave, Waukegan, Illinois. You can contact this provider via phone number 8473778180 and fax number 8473361517. The mailing address for Lake County Behavioral Health is 3012 Grand Ave, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake County Behavioral Health |
|---|---|
| Address | 3012 Grand Ave, Waukegan, Illinois |
| Phone Number | 8473778180 |
| Fax Number | 8473361517 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Schanding David |
| Credentials | MMR |
| Telephone Number | 8473778297 |
NPI Number Detail
| NPI Number | 1538380670 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3012 Grand Ave |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600852321 |
| Phone Number | 8473778180 |
| Fax Number | 8473361517 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 17 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code assigned to Lake County Behavioral Health by the Centers for Medicare & Medicaid Services?
The Lake County Behavioral Health has been issued the NPI (National Provider Identifier) 1538380670 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lake County Behavioral Health is physically located?
The Lake County Behavioral Health is situated at the following address: 3012 Grand Ave, Waukegan, IL 600852321.
What is Lake County Behavioral Health's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lake County Behavioral Health's specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
On what date was the 1538380670 assigned to Lake County Behavioral Health?
The Lake County Behavioral Health was issued its 1538380670 on 2007-05-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lake County Behavioral Health most recently updated or revised?
The information pertaining to Lake County Behavioral Health, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
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