Organization
SYNERGY FAMILY SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS JONES (CEO/PRESIDENT)
(773) 418-9921
Entity
Organization
Contact information
Practice address
4326 W AUGUSTA BLVD, CHICAGO, IL 60651-3430
(773) 418-9921
Mailing address
4326 W AUGUSTA BLVD, CHICAGO, IL 60651-3430
(773) 418-9921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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