| The Center For Divorce Recovery | |
|
910 Skokie Blvd Suite 215 Northbrook IL 60062-4013 | |
| (847) 480-0300 | |
| (847) 291-0576 |
| Full Name | The Center For Divorce Recovery |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 910 Skokie Blvd, Northbrook, Illinois |
| Authorized Official Name and Position | Jason R Price (PARTNER) |
| Authorized Official Contact | 8474800300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Divorce Recovery 910 Skokie Blvd Suite 215 Northbrook IL 60062-4013 Ph: (847) 480-0300 | The Center For Divorce Recovery 910 Skokie Blvd Suite 215 Northbrook IL 60062-4013 Ph: (847) 480-0300 |
| NPI Number | 1740565126 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740565126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149012969 (Illinois) | Primary |
| 106H00000X | Marriage & Family Therapist | 166000576 (Illinois) | Secondary |
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The Center For Divorce Recovery Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 633 Skokie Blvd, 260, Northbrook, IL 60062 Phone: 847-480-0300 Fax: 847-291-0576 |