OrganizationActive
Kids Hope United Northern Region
NPI 1104889633 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lake Villa, IL
Provider details
- NPI number
- 1104889633
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Heather Kelly, Assistant Director of Bh
- License
- 004019-10 (IL)
Practice location
215 N Milwaukee Ave
Lake Villa, IL 60046-8529
Phone: (847) 245-6584
Fax: (847) 356-1842
Mailing address
215 N Milwaukee Ave
Lake Villa, IL 60046-8529
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.