Arden Shore Child and Family Services

NPI #1528319969 in Waukegan, Illinois

Provider Information

NPI Number: 1528319969
Entity Type: Organization
Organization Name: Arden Shore Child and Family Services
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Sep 25, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: 3100 CORNELL RD
City: Waukegan
State: Illinois
ZIP Code: 60087-2247
Phone: (847) 263-1858

Authorized Official

Name: DR. DORA MAYA, PHD
Title: PRESIDENT/CEO
Phone: (847) 623-1730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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