Organization · Type 2 NPI

Lake County Center, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Gurnee, IL

NPI number 1124659123 Active

Practice location

310 S Greenleaf St Ste 206207
Gurnee, IL 60031-5708

Specialties and licenses

TaxonomyCodeLicense
Methadone Clinic 261QM2800XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1124659123

Lake County Center, LLC's National Provider Identifier is 1124659123, issued on Jan 29, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Gurnee, IL. The record was last updated on Jan 19, 2022.