Organization
CAMELOT CARE CENTERS, LLC.
Active
Parent organization
PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
Authorized official
RONICA PATEL (STATE EXECUTIVE DIRECTOR)
(630) 773-1988
Entity
Organization
Contact information
Practice address
34121 NORTH ROUTE 45, SUITE 207, GRAYSLAKE, IL 60030
(847) 993-9894
(847) 543-4534
Mailing address
333 W PIERCE RD STE 175, ITASCA, IL 60143-3120
(847) 993-9894
(847) 543-4534
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05-IPI-141
—
IL
Enumeration date
04/14/2016
Last updated
08/26/2019
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