Independence Center

NPI #1427227230 in Waukegan, Illinois

Provider Information

NPI Number
1427227230
Entity Type
Organization
Organization Name
Independence Center
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Feb 26, 2008
Last Updated
Aug 3, 2011

Practice Location

Address
819 INDIANA AVE
ZIP Code
60085-2612
Phone
(847) 360-1020

Authorized Official

Name
MICHAEL PIERCE
Title
EXECUTIVE DIRECTOR
Phone
(847) 244-4442

Specialties & Taxonomy Codes

Specialty
Case Management
Community/Behavioral Health
Community Based Residential Treatment Facility, Mental Illness

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