Organization
MCHENRY COUNTY MENTAL HEALTH BOARD
Active
Parent organization
COUNTY OF MCHENRY ILLINOIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MCHENRY ILLINOIS
Authorized official
MRS. ALEXANDRIA LEWIS (EXECUTIVE DIRECTOR)
(815) 455-2828
Entity
Organization
Contact information
Practice address
620 DAKOTA ST, CRYSTAL LAKE, IL 60012-3732
(815) 455-2828
Mailing address
620 DAKOTA ST, CRYSTAL LAKE, IL 60012-3732
(815) 455-2828
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014
—
IL
Enumeration date
09/04/2008
Last updated
09/04/2008
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