Nicasa
NPI #1457573099 in Round Lake, Illinois
Provider Information
- NPI Number
- 1457573099
- Entity Type
- Organization
- Organization Name
- Nicasa
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- May 3, 2007
- Last Updated
- Apr 6, 2021
Practice Location
- Address
- 31979 N FISH LKAE RD
- City
- Round Lake
- State
- Illinois
- ZIP Code
- 60073
- Phone
- (847) 546-6450
Authorized Official
- Name
- MR. BRUCE JOHNSON
- Title
- COO
- Phone
- (847) 546-6450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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