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Organization
SANDSTONE CARE ILLINOIS, LLC
Active
Organization
SANDSTONE CARE ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE VICK (CHIEF FINANCIAL OFFICER)
(720) 356-0752
Entity
Organization
Contact information
Practice address
195 N ARLINGTON HEIGHTS RD, BUFFALO GROVE, IL 60089-8211
(720) 372-0218
(888) 850-1860
Mailing address
7555 E HAMPDEN AVE STE 103, DENVER, CO 80231-4832
(888) 228-2384
(888) 850-1860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/07/2022
Last updated
01/30/2024
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