Lake County Crisis Center for the Prevention and Treatment of Domestic
NPI #1720855943 in Third Lake, Illinois
Provider Information
- NPI Number
- 1720855943
- Entity Type
- Organization
- Organization Name
- Lake County Crisis Center for the Prevention and Treatment of Domestic
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 7, 2023
- Last Updated
- Dec 7, 2023
Practice Location
- Address
- 18391 W WASHINGTON ST.
- Address 2
- SUITE 300
- City
- Third Lake
- State
- Illinois
- ZIP Code
- 60030
- Phone
- (847) 731-7165
Authorized Official
- Name
- PAT DAVENPORT
- Title
- CEO
- Phone
- (847) 731-7165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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