DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.; NPI #1255703450

Contact Information

DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.

12 HEALTH SERVICES DR
DEKALB, IL 60115

Phone: 815-756-4875
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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

NPI Number 1255703450

LBN Legal business name DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.

Authorized official BETTYJO FORTUNE - (FINANCIAL ASSESSOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/27/2015

Last updated 07/23/2018 - About 8 years ago

Identifiers

Medicaid

1255703450

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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