NPI 1508282245

Lawrence Hall Youth Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Elgin, IL

Practice location

Address: 510 W Highland Ave, Elgin, IL 60123-5428
Phone: (773) 728-2807
Mailing address: 2737 W Peterson Ave, Chicago, IL 60659-3927

Authorised official

Name: Mark Nufer
Title: Chief Financial Officer
Phone: (773) 728-2807

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 528319-01 (IL)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Illinois →

Case Management Agency

Agencies Taxonomy 251B00000X Licence 528319-01 (IL)

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Registry record

NPI: 1508282245
Entity type: Organization
NPI issued: 5 Mar 2014
Record last updated: 5 Mar 2014

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.