Organization
FAMILY SERVICE AND COMMUNITY MENTAL HEALTH CENTER FOR MCHENRY COUNTY
Active
Other names
Fam SVC and COMM CTR for McHenry CNTY
Organization subpart
No
Provider details
NPI number
Authorized official
J. SCOTT CAMPBELL (CHIEF OPERATING OFFICER)
(815) 385-6400
Entity
Organization
Contact information
Practice address
4100 VETERANS PKWY, MCHENRY, IL 60050-4029
(815) 385-6400
(815) 385-8127
Mailing address
4100 VETERANS PKWY, MCHENRY, IL 60050-4029
(815) 385-6400
(815) 385-8127
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5615096
BLUE CROSS
IL
Enumeration date
05/10/2006
Last updated
05/03/2011
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