| Pioneer Center For Human Services | |
|
4031 W Dayton St Mchenry IL 60050-8377 | |
| (815) 759-7152 | |
| (815) 344-3815 |
| Full Name | Pioneer Center For Human Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4031 W Dayton St, Mchenry, Illinois |
| Authorized Official Name and Position | Frank Samuel (CO-CEO) |
| Authorized Official Contact | 8157597135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Center For Human Services 4031 W Dayton St Mchenry IL 60050-8377 Ph: (815) 759-7152 | Pioneer Center For Human Services 4031 W Dayton St Mchenry IL 60050-8377 Ph: (815) 759-7152 |
| NPI Number | 1366744054 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366744054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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