Kenneth Young Center

LBN: Kenneth Young Center
Kenneth Young Center is an health care organization with primary practice located at 2418 E Hintz Rd , Arlington Heights IL 60004-2268. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Kenneth Young Center can be contacted via phone (847) 524-8800, or through Cowen, Susan via phone (847) 524-8800.

Contact Information

Primary practice address
2418 E Hintz Rd Arlington Heights IL 60004-2268
Phone: (847) 524-8800
Fax: (847) 524-8824
Website:
Map and Directions
Authorized official contact:
Name: Cowen, Susan Licensed Clinical Social Worker (LCSW)
Phone: (847) 524-8800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Illinois

Profile Details

NPI number 1902358930
LBN Legal business name Kenneth Young Center
DBA Doing business as
Authorized official Cowen, Susan Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2016
Last updated Dec 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902358930 NPPES
Illinois MEDICAID 000004086

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