Organization
CENTER FOR CHRISTIAN LIFE ENRICHMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH BLUE M.A., LCPC (CLINICAL DIRECTOR)
(847) 272-3684
Entity
Organization
Contact information
Practice address
666 DUNDEE RD, SUITE 503, NORTHBROOK, IL 60062-2727
(847) 272-3684
(847) 272-7934
Mailing address
666 DUNDEE RD, SUITE 503, NORTHBROOK, IL 60062-2727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180.001528
IL
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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