| Lifebuilders Nfp | |
|
1634 Vollbrecht Dr South Holland IL 60473-3641 | |
| (773) 213-9702 | |
| Not Available |
| Full Name | Lifebuilders Nfp |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1634 Vollbrecht Dr, South Holland, Illinois |
| Authorized Official Name and Position | Eric Michael Arnold (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7732139702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebuilders Nfp 10204 S Forest Ave Chicago IL 60628-2108 Ph: (773) 213-9702 | Lifebuilders Nfp 1634 Vollbrecht Dr South Holland IL 60473-3641 Ph: (773) 213-9702 |
| NPI Number | 1669253936 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669253936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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