Organization
MENTAL HEALTH AND DEAFNESS RESOURCES
Active
Organization
MENTAL HEALTH AND DEAFNESS RESOURCES
Active
Other names
Prairieview Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL FISHER (ADMINISTRATOR)
(847) 509-8260
Entity
Organization
Contact information
Practice address
19407 US HIGHWAY 150, BLOOMINGTON, IL 61705-5858
(309) 378-1509
Mailing address
614 ANTHONY TRL, NORTHBROOK, IL 60062-2540
(847) 509-8260
(847) 509-8157
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
398621
IL
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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