Organization
SANDSTONE CARE ILLINOIS, LLC
Active
Parent organization
1962135848
Other names
Sandstone Care Darien
Organization subpart
Yes
Provider details
NPI number
Legal business name
1962135848
Authorized official
PETER BRINK (CHIEF FINANCIAL OFFICER)
(720) 583-9884
Entity
Organization
Contact information
Practice address
8140 S. CASS AVE, DARIEN, IL 60561
(720) 704-8254
Mailing address
7555 E HAMPDEN AVE STE 103, DENVER, CO 80231-4832
(720) 372-0218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/06/2023
Last updated
01/30/2024
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