1881863603 INDEPENDENCE CENTER

Mental Illness Community Based Residential Treatment Facility

Reactivated

Basic Information

Organization Name
INDEPENDENCE CENTER
Enumeration Date
February 26, 2008
Last Update
August 3, 2011
Deactivation Date
March 31, 2008
Reactivation Date
August 3, 2011
Authorized Official
MICHAEL PIERCE
EXECUTIVE DIRECTOR
Phone: (847) 244-4442

Practice Location

Address
815 INDIANA AVE
WAUKEGAN, IL 600852612
Phone
(847) 360-1020

Mailing Address

Address
2025 WASHINGTON ST
WAUKEGAN, IL 600855131
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Case Management Agency
251B00000X Case Management N/A N/A No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A No
Mental Illness Community Based Residential Treatment Facility
320800000X Community Based Residential Treatment Facility, Mental Illness N/A N/A Primary

Frequently Asked Questions

What is INDEPENDENCE CENTER's NPI number?
INDEPENDENCE CENTER's NPI number is 1881863603.
Which doctor has NPI number 1881863603?
The doctor with NPI number 1881863603 is INDEPENDENCE CENTER.
What is INDEPENDENCE CENTER's practice address?
INDEPENDENCE CENTER's practice address is 815 INDIANA AVE, WAUKEGAN, IL, 600852612.
Which doctor practices at 815 INDIANA AVE, WAUKEGAN, IL, 600852612?
INDEPENDENCE CENTER practices at 815 INDIANA AVE, WAUKEGAN, IL, 600852612.
What is INDEPENDENCE CENTER's mailing address?
INDEPENDENCE CENTER's mailing address is 2025 WASHINGTON ST, WAUKEGAN, IL, 600855131.
What is INDEPENDENCE CENTER's phone number?
INDEPENDENCE CENTER's phone number is (847) 360-1020.
Who is (847) 360-1020?
(847) 360-1020 is the phone number for INDEPENDENCE CENTER.
What is INDEPENDENCE CENTER's specialty?
INDEPENDENCE CENTER's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is INDEPENDENCE CENTER?
INDEPENDENCE CENTER is a Mental Illness Community Based Residential Treatment Facility.
Is INDEPENDENCE CENTER a Community Based Residential Treatment Facility, Mental Illness?
Yes, INDEPENDENCE CENTER is a Community Based Residential Treatment Facility, Mental Illness.
Is INDEPENDENCE CENTER still practicing?
Yes, INDEPENDENCE CENTER has reactivated their practice and is currently practicing.
Is INDEPENDENCE CENTER accepting new patients?
INDEPENDENCE CENTER may be accepting new patients. Please call their office at (847) 360-1020 to inquire about availability.
Is NPI 1881863603 still active?
Yes, NPI 1881863603 has been reactivated and is currently active.
Where does INDEPENDENCE CENTER practice?
INDEPENDENCE CENTER practices in WAUKEGAN, IL.