National Provider Identifier Database

DEKALB BEHAVIORAL HEALTH FOUNDATION INC
Mental Health (Including Community Mental Health Center)


Contact Information

DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
12 HEALTH SERVICES DR
DEKALB, IL60115
Phone: 815-756-4875
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.

NPI Number 1255703450
Legal business name
LBN
DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
Authorized official BETTYJO FORTUNE - (FINANCIAL ASSESSOR)
Entity Organization
Organization subpart No
Enumeration date 10/27/2015
Last updated 07/23/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 1255703450

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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