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Organization

NORTH SHORE ADOLESCENT RECOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY EDWARDS EVEN (EXECUTIVE DIRECTOR)
(847) 446-2270
Entity
Organization

Contact information

Practice address
211 WAUKEGAN RD, SUITE 100, NORTHFIELD, IL 60093-2757
(847) 446-2270
(847) 446-2172
Mailing address
211 WAUKEGAN RD, SUITE 100, NORTHFIELD, IL 60093-2757
(847) 446-2270
(847) 446-2172

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-5256-0001-A
IL

Other

Enumeration date
12/29/2008
Last updated
08/16/2010
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