| Organization Name: | OAKWOODS CENTER |
| NPI Number: | 1194068742 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNN L LIDBURY (OWNER/PROVIDER) |
| Mailing Address: | 23500 Western Ave Park Forest |
| State: | IL US |
| Postal Code: | 604662612 |
| Phone Number: | 7084815466 |
| Fax Number: | 7084815466 |
| NPI Enumeration Date: | 04/02/2013 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.002670 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |