Organization
MCHENRY CO. LATINO COALITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS JORGE ACOSTA LCSW (EXECUTIVE DIRECTOR)
(815) 206-0445
Entity
Organization
Contact information
Practice address
110 S JOHNSON ST, SUITE 212, WOODSTOCK, IL 60098-3259
(815) 206-0445
(815) 206-1056
Mailing address
110 S JOHNSON ST, SUITE 212, WOODSTOCK, IL 60098-3259
(815) 206-0445
(815) 206-1056
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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