| Organization Name: | NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC, |
| NPI Number: | 1063773372 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY BLOCK (CFO) |
| Mailing Address: | 4100 Veterans Pkwy Mchenry |
| State: | IL US |
| Postal Code: | 600508350 |
| Phone Number: | 8152230160 |
| Fax Number: | 8152231634 |
| NPI Enumeration Date: | 06/04/2012 |
| NPI Last Update Date: | 06/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | A-0643-0008-A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |