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Organization

BEHAVIORAL SERVICES CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EUGENE ISYANOV PH.D. (CLINICAL SERVICES DIRECTOR)
(847) 673-8577
Entity
Organization

Contact information

Practice address
310 S GREENLEAF ST STE 205, GURNEE, IL 60031-5708
(847) 673-8577
Mailing address
8707 SKOKIE BLVD STE 207, SKOKIE, IL 60077-2272
(847) 673-8577
(847) 568-0411

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
04/20/2015
Last updated
06/05/2018
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