Organization
DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
Active
Parent organization
DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
Other names
Northwestern Medicine Ben Gordon Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
Authorized official
CHRISTINE ZYDEK (DIRECTOR OF FINACE)
(815) 748-2986
Entity
Organization
Contact information
Practice address
100 S LATHAM ST STE 204, DASA, SANDWICH, IL 60548
(815) 786-7544
Mailing address
PO BOX 1109, DEKALB, IL 60115-7109
(815) 786-7544
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
07/23/2018
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