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Ican Community Services Inc. Nfp
Substance Use Disorder Rehabilitation Clinic/Center in South Holland, Illinois
NPI 1063702330

Ican Community Services Inc. Nfp is a Substance Use Disorder Rehabilitation Clinic/Center based in South Holland, IL and is specialized in Rehabilitation, Substance Use Disorder. Ican Community Services Inc. Nfp practices in South Holland, IL. The NPI Number for Ican Community Services Inc. Nfp is 1063702330 and holds a License No. A-5212-0001-A (Illinois).

The current practice location address for Ican Community Services Inc. Nfp is 15475 S Park Ave, South Holland, IL and can be reached out via phone at 708-596-5680.

Location: 15475 S Park Ave, South Holland, IL, 60473-1328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063702330
Provider Name
Ican Community Services Inc. Nfp
Credential
Provider Entity Type
Organization
Address
15475 S Park Ave, South Holland, IL, 60473-1328
Phone Number
708-596-5680
Fax Number
Provider Enumeration Date
04/07/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL-10,172M 01 IL FDA NUMBER
institution
Provider Business Practice Location Address Details
Address
15475 S Park Ave
City
South Holland
State
Illinois
Zip
60473-1328
Phone Number
708-596-5680
Fax Number
person
Provider Business Mailing Address Details
Address
15475 S Park Ave
City
South Holland
State
Illinois
Zip
60473-1328
Phone Number
708-596-5680
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
A-5212-0001-A (Illinois)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
A-5212-0001-A (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
A-5212-0001-A (Illinois)
Definition
Definition to come...
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