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North Central Behavioral Health Systems, Inc.

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Princeton, IL

NPI 1124531322 · NPPES record last updated Nov 9, 2017

Key facts

NPI
1124531322
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC.
Practice address
530 Park Ave E Ste 206B
Princeton, IL 61356-3902
Phone
(815) 223-0160
Fax
(815) 223-1634
NPI assigned
Nov 9, 2017
Organization subpart
No

Authorized official

Name
Larry F Block
Title
Cfo
Phone
(815) 224-5001

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

National Provider Directory

Tax ID family
North Central Behavioral Health Systems Inc (29 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

530 Park Ave E Ste 206B
Princeton, IL 61356-3902

Mailing address

PO Box 1488
La Salle, IL 61301-3488
Phone (815) 223-0160

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2017.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1124531322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613013488",
            "telephone_number": "815-223-0160",
            "fax_number": "815-223-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E STE 206B",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563902",
            "telephone_number": "815-223-0160",
            "fax_number": "815-223-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-224-5001"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

All providers in Princeton, IL · Substance Use Disorder Rehabilitation Clinic/Center in Illinois

Sources for this page

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