Mchenry County Mental Health Board

NPI #1134377328 in Woodstock, Illinois

Provider Information

NPI Number: 1134377328
Entity Type: Organization
Organization Name: Mchenry County Mental Health Board
Subpart: Yes (part of a larger organization)
Parent Organization: COUNTY OF MCHENRY ILLINOIS
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 3, 2008
Last Updated: Sep 3, 2008

Practice Location

Address: 2200 N SEMINARY AVE
Address 2: ANNEX A
City: Woodstock
State: Illinois
ZIP Code: 60098-2637
Phone: (815) 455-2828

Authorized Official

Name: MRS. ALEXANDRIA LEWIS
Title: EXECUTIVE DIRECTOR
Phone: (815) 455-2828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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