Providence Farm
NPI #1518790559 in Northfield, Illinois
Provider Information
- NPI Number
- 1518790559
- Entity Type
- Organization
- Organization Name
- Providence Farm
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE FARM
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 23, 2024
- Last Updated
- Aug 23, 2024
Practice Location
- Address
- 400 CENTRAL AVE STE 340
- City
- Northfield
- State
- Illinois
- ZIP Code
- 60093-3039
- Phone
- (847) 409-6230
Authorized Official
- Name
- STEPHANIE ZWILLING, LCSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (847) 409-6230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Substance Abuse Rehabilitation Facility |
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