OrganizationActive
C2act, LLC
NPI 1790054542 · Adolescent and Children Mental Health Clinic/Center · Arlington Heights, IL
Provider details
- NPI number
- 1790054542
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marjorie Diaz Rodriguez, Licensed Clinical Social Worker(224) 210-6694
- License
- 149011093 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
3417 N Kennicott Ave Ste a
Arlington Heights, IL 60004-7824
Phone: (224) 210-6694
Fax: (224) 836-5174
Approximate (ZIP-level) locationGet directions
Mailing address
3417 N Kennicott Ave Ste a
Arlington Heights, IL 60004-7824
Registry dates
- Enumerated
- 2011-12-23
- Last updated
- 2022-03-01
- Certified
- 2022-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.