Independence Center, Inc.

NPI #1174709810 in Waukegan, Illinois

Provider Information

NPI Number
1174709810
Entity Type
Organization
Organization Name
Independence Center, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 11, 2008
Last Updated
Nov 4, 2016

Practice Location

Address
2025 WASHINGTON ST
ZIP Code
60085-5131
Phone
(847) 360-1020

Authorized Official

Name
MS. LISA JOHNSON, LCPC
Title
EXECUTIVE DIRECTOR
Phone
(847) 360-1020

Specialties & Taxonomy Codes

Specialty
Case Management
Community Based Residential Treatment Facility, Mental Illness
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Clinic/Center - Adult Mental HealthAdult Mental Health
Community/Behavioral Health

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