# SANDSTONE CARE ILLINOIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 1962135848
- **Other names:** Sandstone Care Darien
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710750278
- **Legal business name:** 1962135848
- **Authorized official:** PETER BRINK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (720) 583-9884

## Contact information

- **Practice address:** 8140 S. CASS AVE, DARIEN, IL 60561
- **Practice address phone:** (720) 704-8254
- **Mailing address:** 7555 E HAMPDEN AVE STE 103, DENVER, CO 80231-4832
- **Mailing address phone:** (720) 372-0218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 01/30/2024