NICASA, NFP

NPI # 

Practice Address:

2031 Dugdale Rd

North Chicago, IL, 60064-1928

Practice Phone:

847-785-8660

Practice Fax:

847-785-8665

License Number:

1412

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X