NPI 1316780489
One Hope United - Northern Region
Practice location
- Address
- 215 N Milwaukee Ave, Lake Villa, IL 60046-8529
- Phone
- (847) 245-6500
- Mailing address
- PO Box 1128, Lake Villa, IL 60046-1128
Authorised official
- Name
- Heather Christine Kelly
- Title
- Asst Director of Bh
- Phone
- (217) 347-5880
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1316780489
- Entity type
- Organization
- NPI issued
- 17 Jun 2024
- Record last updated
- 16 Aug 2024
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.