Organization · Type 2 NPI

Kids Hope United Northern Region

Emotionally Disturbed Childrens' Residential Treatment Facility · Lake Villa, IL

NPI number 1104889633 Active

Practice location

215 N Milwaukee Ave
Lake Villa, IL 60046-8529

Fax (847) 356-1842

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X004019-10 (IL)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1104889633

Kids Hope United Northern Region's National Provider Identifier is 1104889633, issued on Apr 7, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Lake Villa, IL. The record was last updated on Aug 16, 2024.