Ben Gordon Center

LBN: Community Support Program/Reality House
Ben Gordon Center is an health care organization with primary practice located at 631 S 1St St , Dekalb IL 60115-4117. 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. Community Support Program/Reality House can be contacted via phone (815) 756-8501, or through Flora, Michael via phone (815) 756-4875.

Contact Information

Primary practice address
631 S 1St St Dekalb IL 60115-4117
Phone: (815) 756-8501
Fax: (815) 756-5849
Website:
Map and Directions
Authorized official contact:
Name: Flora, Michael
Phone: (815) 756-4875

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X A0254001A Illinois

Profile Details

NPI number 1972788925
LBN Legal business name Community Support Program/Reality House
DBA Doing business as Ben Gordon Center
Authorized official Flora, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2008
Last updated Oct 8th, 2008 - about 17 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.

Request for update

Popular Providers