| Clearbrook Cmhc | |
|
6500 Northwest Hwy Unit 2c Crystal Lake IL 60014-3117 | |
| (847) 385-5041 | |
| Not Available |
| Full Name | Clearbrook Cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6500 Northwest Hwy Unit 2c, Crystal Lake, Illinois |
| Authorized Official Name and Position | Hollis Gorrie (VICE PRESIDENT PROGRAMS) |
| Authorized Official Contact | 8473855041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearbrook Cmhc 6500 Northwest Hwy Unit 2c Crystal Lake IL 60014-3117 Ph: (847) 385-5041 | Clearbrook Cmhc 6500 Northwest Hwy Unit 2c Crystal Lake IL 60014-3117 Ph: (847) 385-5041 |
| NPI Number | 1235789827 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 11/21/2023 |
| Certification Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235789827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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