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Organization
REVIVE TREATMENT CENTER - LAKE ZURICH LLC
Active
Organization
REVIVE TREATMENT CENTER - LAKE ZURICH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARON FRIEDMAN (DIRECTOR OF BUSINESS DEVELOPMENT)
(847) 220-2438
Entity
Organization
Contact information
Practice address
365 SURRYSE RD STE 120, LAKE ZURICH, IL 60047-2679
(847) 220-2438
Mailing address
365 SURRYSE RD STE 120, LAKE ZURICH, IL 60047-2679
(847) 220-2438
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/08/2024
Last updated
11/18/2024
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