Organization
ABOVE & BEYOND FAMILY RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN HOSTETLER (EXECUTIVE DIRECTOR)
(773) 940-2960
Entity
Organization
Contact information
Practice address
2942 W LAKE ST., CHICAGO, IL 60612
(773) 940-2960
(773) 940-2996
Mailing address
2942 W LAKE ST., CHICAGO, IL 60612
(773) 940-2960
(773) 940-2996
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
01/31/2024
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