Organization
AVENUES TO INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT OKAZAKI CRC, LPC (CEO)
(847) 292-0870
Entity
Organization
Contact information
Practice address
515 BUSSE HWY, PARK RIDGE, IL 60068-3154
(847) 292-0870
(847) 292-0873
Mailing address
515 BUSSE HWY, PARK RIDGE, IL 60068-3154
(847) 292-0870
(847) 292-0873
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IL
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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