Organization
KING DRIVE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E. SMITH M.A.,CARS (EXECUTIVE DIRECTOR)
(773) 324-5500
Entity
Organization
Contact information
Practice address
370 EAST 63RD STREET, CHICAGO, IL 60637
(773) 324-5500
Mailing address
370 EAST 63RD STREET, CHICAGO, IL 60637
(773) 324-5500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-0164-0002-A
IL
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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