Provider Demographics
NPI:1629663281
Name:ASSOCIATES IN BEHAVIORAL HEALTH CARE
Entity Type:Organization
Organization Name:ASSOCIATES IN BEHAVIORAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:847-791-4384
Mailing Address - Street 1:1375 E SCHAUMBURG RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3643
Mailing Address - Country:US
Mailing Address - Phone:847-791-4384
Mailing Address - Fax:
Practice Address - Street 1:910 LAKE ST STE 120
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3383
Practice Address - Country:US
Practice Address - Phone:847-791-4384
Practice Address - Fax:847-426-5384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)