Organization · Type 2 NPI
County of Lake
Mental Health Clinic/Center (Including Community Mental Health Center) · Park City, IL
NPI number
1962315796
Active
Practice location
4103 Greenleaf Ct Apt 111
Park City, IL 60085-7925
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1962315796
County of Lake's National Provider Identifier is 1962315796, issued on Sep 23, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Park City, IL. The record was last updated on Oct 22, 2026.