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Organization
ONE HOPE UNITED- NORTHERN REGION
Active
Organization
ONE HOPE UNITED- NORTHERN REGION
Active
Other names
Campus Building #6
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CHRISTINE KELLY (ASST DIRECTOR OF BH)
(217) 347-5880
Entity
Organization
Contact information
Practice address
215 N MILWAUKEE AVE, CAMPUS BUILDING #6, LAKE VILLA, IL 60046-8529
(847) 245-6500
(847) 356-7842
Mailing address
215 N MILWAUKEE AVE, P.O. BOX 1128, LAKE VILLA, IL 60046-8529
(847) 245-6500
(847) 356-1842
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
004019-12
IL
Other
Enumeration date
08/08/2012
Last updated
08/16/2024
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