Organization
NEXUS
Active
Other names
Indian Oaks Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HUTCHINSON MSW (CEO)
(763) 551-8640
Entity
Organization
Contact information
Practice address
210 S WASHINGTON AVE, KANKAKEE, IL 60901-3781
(815) 802-3700
(815) 468-2320
Mailing address
505 HIGHWAY 169 N STE 500, PLYMOUTH, MN 55441-6447
(763) 551-8640
(763) 553-1637
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
223668-06
IL
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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