Individual provider · Type 1 NPI
Jacqueline Calles
Children's Substance Abuse Rehabilitation Facility · Cicero, IL
Practice location
4904 W. 32nd St
Cicero, IL 60804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | C42042292898 (IL) |
Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
About NPI 1265966832
Jacqueline Calles's National Provider Identifier is 1265966832, issued on Apr 20, 2017. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Cicero, IL. The record was last updated on Apr 20, 2017.