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Organization
FAMILY GUIDANCE CENTERS, INC.
Active
Organization
FAMILY GUIDANCE CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN NOTTAGE MA, LPC, NCC (VICE PRESIDENT)
(312) 943-6545
Entity
Organization
Contact information
Practice address
310 W CHICAGO AVE, CHICAGO, IL 60654-5106
(312) 943-6545
(312) 943-6543
Mailing address
2618 PATRIOT BLVD, GLENVIEW, IL 60026-8024
(224) 659-7030
(224) 659-7035
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
A05210002
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A05210002
IL
Other
Enumeration date
10/24/2006
Last updated
01/29/2020
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