Organization · Type 2 NPI
The South Suburban Council On Alcoholism and Substance Abuse
Substance Use Disorder Rehabilitation Clinic/Center · Hazel Crest, IL
NPI number
1710049820
Active
Practice location
1909 174th St
Hazel Crest, IL 60429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | A-0621-0003-A (IL) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | A-0621-0003-A (IL) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | A-0621-0004A (IL) |
| Substance Abuse Rehabilitation Facility | 324500000X | A-0621-0002-A (IL) |
| Substance Abuse Rehabilitation Facility | 324500000X | A-0621-0001-A (IL) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Other substance use disorder rehabilitation clinic/center providers in Hazel Crest
About NPI 1710049820
The South Suburban Council On Alcoholism and Substance Abuse's National Provider Identifier is 1710049820, issued on Dec 14, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Hazel Crest, IL. The record was last updated on Nov 18, 2021.