Organization
THE LARKIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L GRAF M.A. (EXECUTIVE)
(847) 695-5656
Entity
Organization
Contact information
Practice address
12 S CRYSTAL ST, ELGIN, IL 60123-6339
(847) 608-2680
Mailing address
1212 LARKIN AVE, ELGIN, IL 60123-6042
(847) 695-5656
(847) 695-0897
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
38443402033068
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38443402033068
DCFS CONTRACT
IL
Enumeration date
03/03/2008
Last updated
03/03/2008
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