Organization
THE THRESHOLDS
Active
Parent organization
THE THRESHOLDS
Other names
Lake County, Lake County
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE THRESHOLDS
Authorized official
MARCELLA KLAUER (EXECUTIVE ASSISTANT)
(773) 572-5480
Entity
Organization
Contact information
Practice address
4343 OLD GRAND AVE, GURNEE, IL 60031-2767
(773) 432-6491
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 432-6491
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
—
04133
—
IL
Enumeration date
05/10/2016
Last updated
09/10/2021
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