Organization
THE LARKIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L GRAF M.A. (EXECUTIVE DIRECTOR)
(847) 695-5656
Entity
Organization
Contact information
Practice address
318 DARTMOUTH DR, ELGIN, IL 60123-6913
(847) 608-2683
Mailing address
1212 LARKIN AVE, ELGIN, IL 60123-6042
(847) 695-5656
(847) 698-0897
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
40C8001407
IL
251S00000X
Community/Behavioral Health Agency
Primary
40C8001407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40C8001407
DHS CONTRACT
IL
Enumeration date
03/20/2008
Last updated
06/27/2008
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