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Nicasa
Substance Use Disorder Rehabilitation Clinic/Center in Round Lake, Illinois
NPI 1457573099

Nicasa is a Substance Use Disorder Rehabilitation Clinic/Center based in Round Lake, IL and is specialized in Rehabilitation, Substance Use Disorder. Nicasa practices in Round Lake, IL. The NPI Number for Nicasa is 1457573099 and holds a License No. CA06140005A (Illinois).

The current practice location address for Nicasa is 31979 N Fish Lkae Rd, Round Lake, IL and can be reached out via phone at 847-546-6450 and via fax at 847-546-6760.

Location: 31979 N Fish Lkae Rd, Round Lake, IL, 60073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457573099
Provider Name
Nicasa
Credential
Provider Entity Type
Organization
Address
31979 N Fish Lkae Rd, Round Lake, IL, 60073
Phone Number
847-546-6450
Fax Number
847-546-6760
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA06140002A 05 IL
CA06140005A 05 IL
A06140005A 01 IL STATE OF ILLINOIS
A06140004A 01 IL STATE OF ILLINOIS
CA06140001A 05 IL
A06140003A 01 IL STATE OF ILLINOIS
A06140001A 01 IL STATE OF ILLINOIS
A06140002A 01 IL STATE OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
31979 N Fish Lkae Rd
City
Round Lake
State
Illinois
Zip
60073
Phone Number
847-546-6450
Fax Number
847-546-6760
person
Provider Business Mailing Address Details
Address
31979 N Fish Lkae Rd
City
Round Lake
State
Illinois
Zip
60073
Phone Number
847-546-6450
Fax Number
847-546-6760
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
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Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
CA06140005A (Illinois)
Definition
Definition to come...
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