Lutheran Social Services of Il

NPI #1316386477 in Danville, Illinois

Provider Information

NPI Number: 1316386477
Entity Type: Organization
Organization Name: Lutheran Social Services of Il
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 21, 2013
Last Updated: Jun 21, 2013

Practice Location

Address: 605 N LOGAN AVE
City: Danville
State: Illinois
ZIP Code: 61832-4371
Phone: (217) 446-6673

Authorized Official

Name: MR. GERALD E NOONAN
Title: V.P. FINANCE/CFO
Phone: (847) 635-4600

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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