County Of Dupage Department Of Health
Clinic/Center, Mental Health (Including Community Mental Health Center) in Glendale Heights, IL. Organization (NPI-2).
NPI number1780840967
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1780840967
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Dupage Department Of Health
- Organization subpart
- Yes
- Enumeration date
- Aug 6, 2008
- Certification date
- Jun 1, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | IL | Yes |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | IL |
Other names
- Dupage County Health Department - Cap IV (Doing Business As)
Practice location
761 Lippert LnApartment 1e
Glendale Heights, IL 60139-1402
Phone 630-682-7400
Mailing address
111 N County Farm RdWheaton, IL 60187-3977
Phone 630-682-7400
Authorized official
Adam Forker
Executive Director
6306827400
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