NPI 1013294271
Arden Shore Child and Family Services
Practice location
- Address
- 329 N Genesee St, Waukegan, IL 60085-4205
- Phone
- (847) 623-1730
- Fax
- (847) 623-1733
Authorised official
- Name
- Dora Maya
- Title
- Ceo/ President
- Phone
- (847) 623-1730
Registered specialties (4)
Community/Behavioral Health Agency
Primary
Case Management Agency
Foster Care Agency
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1013294271
- Entity type
- Organization
- NPI issued
- 15 Nov 2011
- Record last updated
- 15 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.