Organization
FAMILY GUIDANCE CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NOTTAGE MA, LPC, NCC (VICE PRESIDENT)
(312) 943-6545
Entity
Organization
Contact information
Practice address
2630 S WABASH AVE, CHICAGO, IL 60616-2825
(312) 808-3210
Mailing address
2618 PATRIOT BLVD, GLENVIEW, IL 60026-8024
(224) 659-7030
(224) 659-7035
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/08/2019
Last updated
05/21/2020
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