Organization
COUNSELING CENTER OF LAKE VIEW - SUBSTANCE ABUSE
Active
Parent organization
COUNSELING CENTER OF LAKE VIEW
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNSELING CENTER OF LAKE VIEW
Authorized official
MR. GEORGE JAMES CURTISS (CONTROLLER)
(773) 549-1102
Entity
Organization
Contact information
Practice address
3225 N SHEFFIELD AVE, CHICAGO, IL 60657-2210
(773) 549-5886
(773) 549-3265
Mailing address
3225 N SHEFFIELD AVE, CHICAGO, IL 60657-2210
(773) 549-5886
(773) 549-3265
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A0127-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362743345001
—
IL
Enumeration date
08/13/2010
Last updated
08/13/2010
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