Organization · Type 2 NPI

Community Support Program/reality House

Mental Health Clinic/Center (Including Community Mental Health Center) · Dekalb, IL

NPI number 1972788925 Active

Practice location

631 S 1st St
Dekalb, IL 60115-4117

Call (815) 756-8501 Map

Fax (815) 756-5849

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XA0254001A (IL)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

41 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Dekalb

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About NPI 1972788925

Community Support Program/reality House's National Provider Identifier is 1972788925, issued on Jan 8, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Dekalb, IL. The record was last updated on Oct 8, 2008.