Organization
LIFELINE COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN WAGNER (MANAGING DIRECTOR)
(773) 554-5041
Entity
Organization
Contact information
Practice address
1655 N ARLINGTON HEIGHTS RD STE 301W, ARLINGTON HEIGHTS, IL 60004-3900
(847) 626-5001
Mailing address
424 N THORNWOOD DR, MCHENRY, IL 60050-5031
(847) 626-5001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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