Organization · Type 2 NPI
Allendale Association
Mental Health Clinic/Center (Including Community Mental Health Center) · Lake Villa, IL
NPI number
1821051608
Active
Practice location
Grand Ave. And Offield Dr.
Lake Villa, IL 60046-1088
Fax (847) 356-2393
Mailing address
600 W Grand Ave, P.o. Box 1088
Lake Villa, IL 60046-8034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 001 (IL) |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 001300-10 (IL) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Lake Villa
About NPI 1821051608
Allendale Association's National Provider Identifier is 1821051608, issued on Apr 11, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lake Villa, IL. The record was last updated on Jul 21, 2022.