| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8140 S. Cass Ave, Darien, Illinois |
| Authorized Official Name and Position | Peter Brink (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7205839884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7555 E Hampden Ave Ste 103 Denver CO 80231-4832 Ph: (720) 372-0218 | 8140 S. Cass Ave Darien IL 60561 Ph: (720) 704-8254 |
| NPI Number | 1710750278 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710750278 | NPI | - | NPPES |
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