Organization
ALLENDALE ASSOCIATION
Active
Other names
Becker Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ANTHONY SCHRANTZ CPA, JD (CHIEF FINANCIAL OFFICER)
(847) 245-6214
Entity
Organization
Contact information
Practice address
448 N GENESEE ST, WAUKEGAN, IL 60085-4006
(847) 244-9343
(847) 244-9540
Mailing address
448 N GENESEE ST, WAUKEGAN, IL 60085-4006
(847) 244-9343
(847) 244-9540
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
002129-11
IL
Other
Enumeration date
03/07/2011
Last updated
05/03/2021
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