Organization · Type 2 NPI

Nicasa, NFP

Substance Use Disorder Rehabilitation Clinic/Center · Waukegan, IL

NPI number 1851715205 Active

Practice location

1113 W Greenwood Ave
Waukegan, IL 60087-4908

Fax (847) 546-6760

Mailing address

31979 N Fish Lake Rd
Round Lake, IL 60073-9517

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XA-0614-0001 (IL)
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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

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About NPI 1851715205

Nicasa, NFP's National Provider Identifier is 1851715205, issued on Feb 5, 2014. 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.