Organization
PIONEER CENTER FOR HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JOHNSEY (CREDENTIAL BILLING SPECIALIST)
(805) 759-7154
Entity
Organization
Contact information
Practice address
301 W GRANT HWY, MARENGO, IL 60152-3038
(815) 759-7182
Mailing address
4100 VETERANS PKWY, MCHENRY, IL 60050-8350
(815) 344-1230
(815) 344-3815
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
07/26/2021
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