| Organization Name: | FOREST COUNSELING SERVICE INC |
| NPI Number: | 1376782474 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA BAILEY (TECHNICIAN/INSURANCE COORDINATOR) |
| Mailing Address: | 9050 W 81st St Justice |
| State: | IL US |
| Postal Code: | 604581350 |
| Phone Number: | 7083251052 |
| Fax Number: | 7083251053 |
| NPI Enumeration Date: | 02/12/2009 |
| NPI Last Update Date: | 02/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | A44560001A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |