Organization · Type 2 NPI
Nicasa - Bridge House
Substance Use Disorder Rehabilitation Clinic/Center · Waukegan, IL
NPI number
1437705746
Active
Practice location
3016 Grand Ave
Waukegan, IL 60085-2321
Mailing address
31979 N Fish Lake Rd
Round Lake, IL 60073-9517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
Other substance use disorder rehabilitation clinic/center providers in Waukegan
About NPI 1437705746
Nicasa - Bridge House's National Provider Identifier is 1437705746, issued on Aug 13, 2019. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Waukegan, IL. The record was last updated on Apr 6, 2021.