Ben Gordon Center

NPI #1750327003 in Dekalb, Illinois

Provider Information

NPI Number: 1750327003
Entity Type: Organization
Organization Name: Ben Gordon Center
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 22, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 12 HEALTH SERVICES DRIVE
City: Dekalb
State: Illinois
ZIP Code: 60115
Phone: (815) 756-4875

Authorized Official

Name: MR. MICHAEL D FLORA
Title: PRESIDENT CEO
Phone: (815) 756-4875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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