Organization · Type 2 NPI

Nicasa

Substance Use Disorder Rehabilitation Clinic/Center · Round Lake, IL

NPI number 1457573099 Active

Practice location

31979 N Fish Lkae Rd
Round Lake, IL 60073

Call (847) 546-6450 Map

Fax (847) 546-6760

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XCA06140005A (IL)
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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

About NPI 1457573099

Nicasa's National Provider Identifier is 1457573099, issued on May 3, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Round Lake, IL. The record was last updated on Apr 6, 2021.