Organization · Type 2 NPI
Lakar Enterprise LLC
Substance Use Disorder Rehabilitation Clinic/Center · South Holland, IL
NPI number
1992070031
Active
Practice location
15525 S Park Ave Ste 114
South Holland, IL 60473-1380
Fax (708) 825-1244
Mailing address
3343 171st St
Lansing, IL 60438-1105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Community/Behavioral Health Agency | 251S00000X | A58520002A (IL) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1992070031
Lakar Enterprise LLC's National Provider Identifier is 1992070031, issued on Mar 21, 2012. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in South Holland, IL. The record was last updated on Apr 5, 2017.