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County Of Lake
Substance Abuse Rehabilitation Facility in Waukegan, Illinois
NPI 1376717702

County Of Lake is a Substance Abuse Rehabilitation Facility based in Waukegan, IL. County Of Lake practices in Waukegan, IL. The NPI Number for County Of Lake is 1376717702 and holds a License No. (Illinois).

The current practice location address for County Of Lake is 3010 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8000.

Location: 3010 Grand Ave, Waukegan, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376717702
Provider Name
County Of Lake
Credential
Provider Entity Type
Organization
Address
3010 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-8000
Fax Number
Provider Enumeration Date
04/16/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3010 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3010 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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