NPI: 1659527208
Provider Name: PRESENCE BEHAVIORAL HEALTH
Doing Business As: PROCARE CENTERS
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 14D2068105
Address:
355 RIDGE AVE
EVANSTON, IL
ZIP 60202
Phone: (708) 338-3806
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PRESENCE BEHAVIORAL HEALTH is a rehabilitation and substance use disorder clinic center in Evanston, IL. PRESENCE BEHAVIORAL HEALTH NPI is 1659527208. The provider is registered as an organization entity type.
The provider Is Doing Business As Procare Centers.
The provider's business location address is:
355 RIDGE AVE
EVANSTON, IL
ZIP 60202-328
Phone: (708) 338-3806
Fax: (708) 345-5496
The provider's authorized official is Kristin Kaminski .
The authorized official title is Manager, General Accounting and has the following contact phone number (708) 338-3806.
The CLIA number assigned to this NPI record is 14D2068105 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/14/2008 and was last updated on 7/27/2016.