INDEPENDENCE CENTER; NPI #1235308057

Contact Information

INDEPENDENCE CENTER

817 INDIANA AVE
WAUKEGAN, IL 60085-2612

Phone: 847-360-1020
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Mental Illness	320800000X
Case Management	251B00000X
Community/Behavioral Health	251S00000X

Indicates primary specialty

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NPI Profile & details for INDEPENDENCE CENTER

NPI Number	`1235308057`
LBN Legal business name	INDEPENDENCE CENTER
Authorized official	MICHAEL PIERCE - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/26/2008
Last updated	08/03/2011 - About 15 years ago
Identifiers	n/a

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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INDEPENDENCE CENTER

Contact Information

Specialty

Community Based Residential Treatment Facility, Mental Illness

Case Management

Community/Behavioral Health

NPI Profile & details for INDEPENDENCE CENTER

Reviews for INDEPENDENCE CENTER