MICHAEL GREEN

HAZEL CREST, IL
NPI1992269039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-01-23
Last Update Date2019-01-23
Business Address
MICHAEL GREEN CADC, MISA
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429-1485
Phone number: 708-335-1155
Mailing Address
MICHAEL GREEN CADC, MISA
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429-1485
Phone number: 708-335-1155
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