The Josselyn Center Nfp

NPI #1649806407 in Waukegan, Illinois

Provider Information

NPI Number
1649806407
Entity Type
Organization
Organization Name
The Josselyn Center Nfp
Subpart
Yes (part of a larger organization)
Parent Organization
THE JOSSELYN CENTER NFP
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Mar 12, 2020
Last Updated
Mar 12, 2020

Practice Location

Address
415 WASHINGTON ST STE 200
ZIP Code
60085-5564
Phone
(847) 441-5600

Authorized Official

Name
KENNETH G. WIERSUM
Title
VP OF FINANCE
Phone
(847) 441-5603

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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