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Organization
ARDEN SHORE CHILD AND FAMILY SERVICES
Active
Organization
ARDEN SHORE CHILD AND FAMILY SERVICES
Active
Other names
Waukegan Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORA MAYA PHD (PRESIDENT/CEO)
(847) 623-1730
Entity
Organization
Contact information
Practice address
3100 CORNELL RD, WAUKEGAN, IL 60087-2247
(847) 263-1858
(847) 263-4190
Mailing address
3100 CORNELL RD, WAUKEGAN, IL 60087-2247
(847) 263-1858
(847) 263-4190
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
31414206
IL
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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