Organization · Type 2 NPI
Way Back Inn
Addiction (Substance Use Disorder) Counselor · Maywood, IL
NPI number
1093060741
Active
Practice location
104 Oak St.
Maywood, IL 60153
Fax (708) 344-2944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 180.007242 (IL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 180.007316 (IL) |
| Professional Counselor | 101YP2500X | 180.007242 (IL) |
| Professional Counselor | 101YP2500X | 180.007316 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1093060741
Way Back Inn's National Provider Identifier is 1093060741, issued on Jul 18, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maywood, IL. The record was last updated on Aug 23, 2022.