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Organization
LAKE COUNTY CRISIS CENTER FOR THE PREVENTION AND TREATMENT OF DOMESTIC
Active
Organization
LAKE COUNTY CRISIS CENTER FOR THE PREVENTION AND TREATMENT OF DOMESTIC
Active
Other names
A Safe Place
Organization subpart
No
Provider details
NPI number
Authorized official
PAT DAVENPORT (CEO)
(847) 731-7165
Entity
Organization
Contact information
Practice address
2710 17TH ST, ZION, IL 60099-1543
(847) 731-7165
Mailing address
2710 17TH ST, ZION, IL 60099-1543
(847) 731-7165
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
12/06/2023
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