Organization · NPI-2

Behavioral Services Center

Community/Behavioral Health · Gurnee, IL

NPI number1679960496
StatusActive
Last updated in NPPESJun 5, 2018

Details

NPI
1679960496
Entity type
Organization (NPI-2)
Legal business name
Behavioral Services Center
Organization subpart
No
Enumeration date
Apr 20, 2015
Last updated
Jun 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251B00000X Case Management––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Practice location

310 S Greenleaf St Ste 205
Gurnee, IL 60031-5708

Phone 847-673-8577

Mailing address

8707 Skokie Blvd Ste 207
Skokie, IL 60077-2272

Phone 847-673-8577 · Fax 847-568-0411

Other practice locations

5101 Washington St Ste 11
Gurnee, IL 60031-2988

Phone 847-673-8577

Authorized official

Eugene Isyanov
Clinical Services Director
8476738577

Is something wrong?

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