Organization
LITTLE CITY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ANN MORAN (DEPUTY CHIEF CENTRALIZED SUPPORTS)
(847) 221-7123
Entity
Organization
Contact information
Practice address
1301 S LEWIS AVE, WAUKEGAN, IL 60085-7814
(847) 336-1700
Mailing address
1760 W ALGONQUIN RD, PALATINE, IL 60067-4791
(847) 221-7123
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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