Organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
Active
Parent organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
Authorized official
MARY JO MACKNISKAS (SR. DIRECTOR NET REVENUE AND REIMB)
(773) 213-0776
Entity
Organization
Contact information
Practice address
3436 N KENNICOTT AVE, ARLINGTON HEIGHTS, IL 60004-7814
(847) 952-7460
Mailing address
3436 N KENNICOTT AVE, ARLINGTON HEIGHTS, IL 60004-7814
(847) 952-7460
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
05/19/2023
Last updated
05/22/2023
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