Camelot Care Centers, Llc, NPI 1093957300
Adolescent and Children Mental Health Clinic/Center in Itasca, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1093957300
NPI Entity Type Organization
Provider Name Camelot Care Centers, Llc
Subpart of Organization Pathways Health And Community Support, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 333 W Pierce Rd, Suite 175, Itasca, IL, US
Provider Mailing Address 333 W Pierce Rd, Suite 175, Itasca, IL, US, 601433116
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Ronica R Patel
Official Position STATE EXECUTIVE DIRECTOR
Phone 630-773-1985

Primary Taxonomy

Taxonomy Code

261QM0855X

Taxonomy Name Adolescent and Children Mental Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Business Address

Camelot Care Centers, Llc
333 W Pierce Rd
Suite 175

Itasca, IL, US

Phone: 630-773-1985
Fax: 630-773-1988

Mailing Address

Camelot Care Centers, Llc
333 W Pierce Rd
Suite 175
Itasca, IL, US
ZIP 601433116
Phone: 630-773-1985
Fax: 630-773-1988

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

251S00000X

Agencies

Community/Behavioral Health

No

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