County of Lake
NPI #1417243288 in Vernon Hills, Illinois
Provider Information
- NPI Number
- 1417243288
- Entity Type
- Organization
- Organization Name
- County of Lake
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jun 21, 2011
- Last Updated
- Jun 21, 2011
Practice Location
- Address
- 24647 N MILWAUKEE AVE
- City
- Vernon Hills
- State
- Illinois
- ZIP Code
- 60061-1576
- Phone
- (847) 377-7920
Authorized Official
- Name
- DR. DENA TRAYLOR, PSY.D.
- Title
- DIRECTOR OF PSYCHOLOGICAL SERVICES
- Phone
- (847) 377-3675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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