Nicasa
Nicasa is a Community/Behavioral Health Agency in Round Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
31979 N Fish Lkae RdRound Lake, IL 60073
Phone: (847) 546-6450
Fax: (847) 546-6760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence CA06140005A (IL) |
Record details
| NPI number | 1457573099 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Johnson — Coo · (847) 546-6450 |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | April 6, 2021 |
| Certification date | April 6, 2021 |
| Mailing address | 31979 N Fish Lkae Rd, Round Lake, IL 60073 |