Organization
LIFEHOUSE GROUP, LLC
Active
Organization
LIFEHOUSE GROUP, LLC
Active
Other names
LifeHouse Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL EDWARD WALSH NCRS (CEO)
(312) 451-5996
Entity
Organization
Contact information
Practice address
14127 LEAVITT AVE, BLUE ISLAND, IL 60406-3242
(708) 897-8581
Mailing address
14127 LEAVITT AVE, BLUE ISLAND, IL 60406-3242
(708) 897-8581
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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