Provider Demographics
NPI:1790933927
Name:ALTERNATIVE BEHAVIOR TREATMENT CENTERS
Entity Type:Organization
Organization Name:ALTERNATIVE BEHAVIOR TREATMENT CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:847-487-9455
Mailing Address - Street 1:27255 N FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-9117
Mailing Address - Country:US
Mailing Address - Phone:847-487-9455
Mailing Address - Fax:847-487-9360
Practice Address - Street 1:1525 E 53RD ST
Practice Address - Street 2:SUITE 516-5
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4557
Practice Address - Country:US
Practice Address - Phone:708-386-8145
Practice Address - Fax:773-324-2041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health