Organization
CHICAGO CENTER FOR EVIDENCE BASED TREATMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA G DESAI LCSW (MANAGER)
(312) 600-3936
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST STE 826, CHICAGO, IL 60602-1799
(312) 600-3936
(312) 600-3936
Mailing address
25 E WASHINGTON ST STE 826, CHICAGO, IL 60602-1799
(312) 600-3936
(312) 600-3936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014532
IL
261QM0850X
Adult Mental Health Clinic/Center
149014532
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
149014532
IL
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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