Organization
THE LARKIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L GRAF M.A. (EXECUTIVE DIRECTOR)
(847) 695-5656
Entity
Organization
Contact information
Practice address
60 N MELROSE, ELGIN, IL 60123
(847) 608-2064
Mailing address
1212 LARKIN AVE, ELGIN, IL 60123-6042
(847) 695-5656
(847) 695-0897
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
02116072013018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02116072013018
DCFS CONTRACT
IL
Enumeration date
03/03/2008
Last updated
03/03/2008
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