Organization
LAKE COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM JOHNSON MA, LCPC (CRISIS CARE PROGRAM COORDINTER)
(847) 377-8088
Entity
Organization
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8088
Mailing address
1593 30TH CT, KENOSHA, WI 53144-3344
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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