| Clearbrook Mchenry Cmhc | |
|
6500 Northwest Hwy Unit 16e Crystal Lake IL 60014-3117 | |
| (815) 893-6509 | |
| Not Available |
| Full Name | Clearbrook Mchenry Cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6500 Northwest Hwy Unit 16e, Crystal Lake, Illinois |
| Authorized Official Name and Position | Hollis Gorrie (DIRECTOR HOME BASED SERVICES) |
| Authorized Official Contact | 8473855041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearbrook Mchenry Cmhc 1835 W Central Rd Arlington Heights IL 60005-2410 Ph: (847) 385-5041 | Clearbrook Mchenry Cmhc 6500 Northwest Hwy Unit 16e Crystal Lake IL 60014-3117 Ph: (815) 893-6509 |
| NPI Number | 1184260770 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 11/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184260770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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