Organization
FAMILY GUIDANCE CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NOTTAGE MA, LPC, NCC (VICE PRESIDENT)
(312) 943-6545
Entity
Organization
Contact information
Practice address
727 BROADWAY ST, QUINCY, IL 62301-2708
(217) 617-4097
(217) 617-4075
Mailing address
2618 PATRIOT BLVD, GLENVIEW, IL 60026-8024
(224) 659-7030
(224) 659-7035
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/19/2018
Last updated
01/29/2020
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