Organization
MILLENNIUM BEHAVIOR HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA J GOLDEN CAADC/LASOP (EXECUTIVE DIRECTOR)
(773) 306-2975
Entity
Organization
Contact information
Practice address
2441 W. 79TH STREET, CHICAGO, IL 60652-1734
(773) 306-2975
(872) 267-7166
Mailing address
2441 W. 79TH STREET, CHICAGO, IL 60652-1734
(773) 306-2975
(872) 267-7166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261Q00000X
Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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