Organization · NPI-2

North Central Behavioral Health Systems, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Ottawa, IL

NPI number1073633418
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1073633418
Entity type
Organization (NPI-2)
Legal business name
North Central Behavioral Health Systems, INC.
Organization subpart
No
Enumeration date
Mar 30, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

727 E Etna Rd
Ottawa, IL 61350-1040

Phone 815-223-0160 · Fax 815-223-1634

Mailing address

727 E Etna Rd
Ottawa, IL 61350-1040

Phone 815-223-0160 · Fax 815-223-1634

Authorized official

Larry Block
Vp-Finance
8152230160

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