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Organization
THE JOSSELYN CENTER NFP
Active
Organization
THE JOSSELYN CENTER NFP
Active
Parent organization
THE JOSSELYN CENTER NFP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE JOSSELYN CENTER NFP
Authorized official
KENNETH G. WIERSUM (VP OF FINANCE)
(847) 441-5603
Entity
Organization
Contact information
Practice address
415 WASHINGTON ST STE 200, WAUKEGAN, IL 60085-5564
(847) 441-5600
(847) 441-7968
Mailing address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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