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General NPI Number Information
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NPI Number | 1932915774
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS INC.
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 1802 N DIVISION ST
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City | MORRIS
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State | IL
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Zip | 60450-1182
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Country | US
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Telephone | 815-223-0160
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 CHARTRES ST
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City | LA SALLE
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State | IL
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Zip | 61301-1031
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Country | US
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Telephone | 815-223-0160
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DIANE GARLAND
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Credential |
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Telephone | 815-223-0160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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