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County Of Lake
Substance Use Disorder Rehabilitation Clinic/Center in Waukegan, Illinois
NPI 1720290091

County Of Lake is a Substance Use Disorder Rehabilitation Clinic/Center based in Waukegan, IL and is specialized in Rehabilitation, Substance Use Disorder. County Of Lake practices in Waukegan, IL. The NPI Number for County Of Lake is 1720290091 and holds a License No. (Illinois).

The current practice location address for County Of Lake is 3004 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8273 and via fax at 847-360-7377.

Location: 3004 Grand Ave, Waukegan, IL, 60085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720290091
Provider Name
County Of Lake
Credential
Provider Entity Type
Organization
Address
3004 Grand Ave, Waukegan, IL, 60085
Phone Number
847-377-8273
Fax Number
847-360-7377
Provider Enumeration Date
05/07/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
3004 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8273
Fax Number
847-360-7377
person
Provider Business Mailing Address Details
Address
3004 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8273
Fax Number
847-360-7377
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
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
(Illinois)
Definition
Definition to come...
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