Organization
NORTHWEST TREATMENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANN FETZNER MS, NCC, LCPC (EXECUTIVE DIRECTOR)
(815) 337-1234
Entity
Organization
Contact information
Practice address
1185 DUNDEE AVE STE E1, ELGIN, IL 60120-2233
(847) 608-8570
(847) 608-8572
Mailing address
1185 DUNDEE AVE STE E1, ELGIN, IL 60120-2233
(847) 608-8570
(847) 608-8572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180000371
IL
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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