Organization
PIONEER CENTER FOR HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK SAMUEL (CO-CEO)
(815) 759-7135
Entity
Organization
Contact information
Practice address
717 PROVIDENCE LN, CRYSTAL LAKE, IL 60012-3781
(815) 344-1230
Mailing address
4031 W DAYTON ST, MCHENRY, IL 60050-8377
(815) 344-1230
(815) 344-3815
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
02/23/2021
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