Organization
NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BLOCK (CFO)
(815) 224-5001
Entity
Organization
Contact information
Practice address
111 SPRING ST STE 28, STREATOR, IL 61364-3332
(815) 223-0160
(815) 223-1634
Mailing address
PO BOX 1488, LA SALLE, IL 61301-3488
(815) 224-5001
(815) 223-1634
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0643-0009-A
IL
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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