Organization · Type 2 NPI

Independence Center

Mental Illness Community Based Residential Treatment Facility · Waukegan, IL

NPI number 1235308057 Active · reactivated Aug 3, 2011

Practice location

817 Indiana Ave
Waukegan, IL 60085-2612

Call (847) 360-1020 Map

Mailing address

2025 Washington St
Waukegan, IL 60085-5131

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1235308057

Independence Center's National Provider Identifier is 1235308057, issued on Feb 26, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Waukegan, IL. The record was last updated on Aug 3, 2011.