Nicasa, Nfp
Clinic/Center, Mental Health (Including Community Mental Health Center) in North Chicago, IL. Organization (NPI-2).
NPI number1982154407
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1982154407
- Entity type
- Organization (NPI-2)
- Legal business name
- Nicasa, Nfp
- Organization subpart
- No
- Enumeration date
- Oct 7, 2016
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 1412 | IL | Yes |
Practice location
2031 Dugdale RdNorth Chicago, IL 60064-1928
Phone 847-785-8660 · Fax 847-785-8665
Mailing address
31979 N Fish Lake RdRound Lake, IL 60073-9517
Phone 847-546-6450 · Fax 847-546-6760
Authorized official
Linda Snelten
Chief Operating Officer
8475466450
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