Organization
LAKE COUNTY CENTER, LLC
Active
Organization
LAKE COUNTY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY HARRIS (DIRECTOR)
(847) 599-8902
Entity
Organization
Contact information
Practice address
310 S GREENLEAF ST STE 206207, GURNEE, IL 60031-5708
(847) 599-8902
Mailing address
310 S GREENLEAF ST STE 206207, GURNEE, IL 60031-5708
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/19/2022
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