Organization
THE THRESHOLDS
Active
Parent organization
THE THRESHOLDS
Other names
Lakeview Health Center, Lakeview Health Center
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
2847 N CLARK ST, CHICAGO, IL 60657-5207
(773) 572-5500
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 572-5500
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
10/21/2016
Last updated
09/08/2021
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