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Kids Hope United Northern Region
Emotionally Disturbed Childrens' Residential Treatment Facility in Lake Villa, Illinois
NPI 1104889633

Kids Hope United Northern Region is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Lake Villa, IL. Kids Hope United Northern Region practices in Lake Villa, IL. The NPI Number for Kids Hope United Northern Region is 1104889633 and holds a License No. 004019-10 (Illinois).

The current practice location address for Kids Hope United Northern Region is 215 N Milwaukee Ave, Lake Villa, IL and can be reached out via phone at 847-245-6584 and via fax at 847-356-1842.

Location: 215 N Milwaukee Ave, Lake Villa, IL, 60046-8529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104889633
Provider Name
Kids Hope United Northern Region
Credential
Provider Entity Type
Organization
Address
215 N Milwaukee Ave, Lake Villa, IL, 60046-8529
Phone Number
847-245-6584
Fax Number
847-356-1842
Provider Enumeration Date
04/07/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370697157003 05 IL
institution
Provider Business Practice Location Address Details
Address
215 N Milwaukee Ave
City
Lake Villa
State
Illinois
Zip
60046-8529
Phone Number
847-245-6584
Fax Number
847-356-1842
person
Provider Business Mailing Address Details
Address
215 N Milwaukee Ave
City
Lake Villa
State
Illinois
Zip
60046-8529
Phone Number
847-245-6584
Fax Number
847-356-1842
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
004019-10 (Illinois)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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