Independence Center

NPI #1619146420 in Waukegan, Illinois

Provider Information

NPI Number: 1619146420
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: 320 N ASH ST
City: Waukegan
State: Illinois
ZIP Code: 60085-3985
Phone: (847) 360-1020

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Case Management	251B00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

Similar Providers

Provider Name	Specialty	City
Independence Center	Community Based Residential Treatment Facility, Mental Illness	Waukegan	AI Deep Dive
Independence Center	Community Based Residential Treatment Facility, Mental Illness	Waukegan	AI Deep Dive
Independence Center	Community Based Residential Treatment Facility, Mental Illness	Waukegan	AI Deep Dive
Independence Center	Community Based Residential Treatment Facility, Mental Illness	Waukegan	AI Deep Dive
Independence Center	Community Based Residential Treatment Facility, Mental Illness	Waukegan	AI Deep Dive

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