Lake County Crisis Center for the Prevention and Treatment of Domestic

NPI #1336781293 in Zion, Illinois

Provider Information

NPI Number: 1336781293
Entity Type: Organization
Organization Name: Lake County Crisis Center for the Prevention and Treatment of Domestic
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 11, 2019
Last Updated: Dec 6, 2023

Practice Location

Address: 2710 17TH ST
City: Zion
State: Illinois
ZIP Code: 60099-1543
Phone: (847) 731-7165

Authorized Official

Name: PAT DAVENPORT
Title: CEO
Phone: (847) 731-7165

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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