Organization · Type 2 NPI
Lutheran Social Services of Il
Mental Health Clinic/Center (Including Community Mental Health Center) · Canton, IL
NPI number
1194045898
Active
Practice location
700 E Oak St, Suite 203
Canton, IL 61520-3157
Fax (309) 647-0262
Mailing address
1001 E Touhy Ave, Suite 50
Des Plaines, IL 60018-5801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 04092 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
Other mental health clinic/center (including community mental health center) providers in Canton
About NPI 1194045898
Lutheran Social Services of Il's National Provider Identifier is 1194045898, issued on Jun 3, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Canton, IL. The record was last updated on Jun 3, 2010.