Organization · NPI-2

Behavioral Services Center

Community/Behavioral Health · Gurnee, IL

NPI number1962857193
StatusActive
Last updated in NPPESJun 20, 2018

Details

NPI
1962857193
Entity type
Organization (NPI-2)
Legal business name
Behavioral Services Center
Organization subpart
No
Enumeration date
Apr 25, 2016
Last updated
Jun 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
251B00000X Case Management––

Practice location

310 S Greenleaf St Ste 205
Gurnee, IL 60031

Phone 847-673-8577

Mailing address

8707 Skokie Blvd Ste 207
Skokie, IL 60077-2272

Phone 847-673-8577

Other practice locations

5101 Washington St Ste 11
Gurnee, IL 60031-2988

Phone 847-673-8577

Authorized official

Eugene Isyanov
Clinical Services Director
8476738577

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