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Jacqueline Calles
Children's Substance Abuse Rehabilitation Facility in Cicero, Illinois
NPI 1265966832

Jacqueline Calles is a Children's Substance Abuse Rehabilitation Facility based in Cicero, IL and is specialized in Substance Abuse Treatment, Children. Jacqueline Calles practices in Cicero, IL. The NPI Number for Jacqueline Calles is 1265966832 and holds a License No. C42042292898 (Illinois).

The current practice location address for Jacqueline Calles is 4904 W. 32Nd St, Cicero, IL and can be reached out via phone at 312-342-2642.

Location: 4904 W. 32Nd St, Cicero, IL, 60804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265966832
Provider Name
Jacqueline Calles
Credential
Provider Entity Type
Individual
Gender
Female
Address
4904 W. 32Nd St, Cicero, IL, 60804
Phone Number
312-342-2642
Fax Number
Provider Enumeration Date
04/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4904 W. 32Nd St
City
Cicero
State
Illinois
Zip
60804
Phone Number
312-342-2642
Fax Number
person
Provider Business Mailing Address Details
Address
4904 W. 32Nd St
City
Cicero
State
Illinois
Zip
60804
Phone Number
312-342-2642
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
C42042292898 (Illinois)
Definition
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.
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