Provider Demographics
NPI:1336265131
Name:OPTIONS & ADVOCACY FOR MCHENRY CO. INC.
Entity Type:Organization
Organization Name:OPTIONS & ADVOCACY FOR MCHENRY CO. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRUNIER-KING
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:815-477-4720
Mailing Address - Street 1:365 MILLENNIUM DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60012-3747
Mailing Address - Country:US
Mailing Address - Phone:815-477-4720
Mailing Address - Fax:715-477-4700
Practice Address - Street 1:365 MILLENNIUM DR
Practice Address - Street 2:SUITE A
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60012-3747
Practice Address - Country:US
Practice Address - Phone:815-477-4720
Practice Address - Fax:715-477-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)