Organization
ONE HOPE UNITED
Active
Other names
One Hope United Northern Region, West Lake/Lake Villa
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CHRISTINE KELLY (ASST DIRECTOR OF BH)
(217) 347-5880
Entity
Organization
Contact information
Practice address
215 N MILWAUKEE AVE, LAKE VILLA, IL 60046-8529
(847) 245-6500
Mailing address
333 S. WABASH AVE, SUITE 2750, CHICAGO, IL 60604-8529
(312) 949-5631
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
37069157003
IL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2A00-IPI-004
—
IL
Enumeration date
10/26/2009
Last updated
08/16/2024
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