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Organization

ALLENDALE ASSOCIATION

Active
Other names
Walter L. Cherry 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
421 W WATER ST, WAUKEGAN, IL 60085-5527
(847) 360-9560
(847) 360-0195
Mailing address
421 W WATER ST, WAUKEGAN, IL 60085-5527
(847) 360-9560
(847) 360-0195

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
110330-09
IL

Other

Enumeration date
03/08/2011
Last updated
05/03/2021
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