| Mchenry County Crisis Program | |
|
3701 Doty Road Woodstock IL 60098 | |
| (815) 338-2910 | |
| (815) 338-2912 |
| Full Name | Mchenry County Crisis Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3701 Doty Road, Woodstock, Illinois |
| Authorized Official Name and Position | David Tomlinson (CIO & CFO) |
| Authorized Official Contact | 8157885831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mchenry County Crisis Program 3701 Doty Road Woodstock IL 60098 Ph: (815) 338-2910 | Mchenry County Crisis Program 3701 Doty Road Woodstock IL 60098 Ph: (815) 338-2910 |
| NPI Number | 1124446034 |
|---|---|
| Provider Enumeration Date | 03/29/2014 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124446034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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