Organization
FAMILY GUIDANCE CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NOTTAGE MA, LPC, NCC (VICE PRESIDENT)
(224) 659-7030
Entity
Organization
Contact information
Practice address
2400 GLENWOOD AVE, JOLIET, IL 60435-5474
(815) 730-7521
Mailing address
2618 PATRIOT BLVD, GLENVIEW, IL 60026-8024
(224) 659-7030
(224) 659-7324
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
A05210020A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A05210020A
IL
Other
Enumeration date
12/21/2011
Last updated
01/28/2020
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