Organization
PRESENCE BEHAVIORAL HEALTH
Active
Other names
ProCare Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN KAMINSKI (MANAGER, GENERAL ACCOUNTING)
(708) 338-3806
Entity
Organization
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(708) 338-3806
(708) 345-5496
Mailing address
1820 S 25TH AVE, BROADVIEW, IL 60155-2864
(708) 338-3806
(708) 681-1289
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616027
BCBS
IL
Enumeration date
08/14/2008
Last updated
07/27/2016
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