Organization
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
Active
Parent organization
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
Other names
Alexian Brothers Behavioral Health Hospital Outpatient Group Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
Authorized official
CLAYTON CIHA (CEO)
(847) 755-8001
Entity
Organization
Contact information
Practice address
1786 MOON LAKE BLVD STE 104, HOFFMAN ESTATES, IL 60169-1016
(847) 755-8090
(847) 843-7393
Mailing address
1786 MOON LAKE BLVD STE 104, HOFFMAN ESTATES, IL 60169-1016
(847) 755-8090
(847) 843-7393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/11/2017
Last updated
05/30/2024
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