Pioneer Center For Human Services | |
503 Lawndale Ave Woodstock IL 60098-4030 | |
(815) 759-7152 | |
(815) 344-3815 |
Full Name | Pioneer Center For Human Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 503 Lawndale Ave, Woodstock, Illinois |
Authorized Official Name and Position | Frank Samuel (CO-CEO) |
Authorized Official Contact | 8157597135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pioneer Center For Human Services 4031 W Dayton St Mchenry IL 60050-8377 Ph: (815) 759-7152 | Pioneer Center For Human Services 503 Lawndale Ave Woodstock IL 60098-4030 Ph: (815) 759-7152 |
NPI Number | 1174825863 |
---|---|
Provider Enumeration Date | 12/01/2010 |
Last Update Date | 08/17/2022 |
Certification Date | 08/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174825863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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