institution
Sundance Methadone Treatment Center,llc
Substance Abuse Rehabilitation Facility in Chicago, Illinois
NPI 1316296007

Sundance Methadone Treatment Center,llc is a Substance Abuse Rehabilitation Facility based in Chicago, IL. Sundance Methadone Treatment Center,llc practices in Chicago, IL. The NPI Number for Sundance Methadone Treatment Center,llc is 1316296007 and holds a License No. (Illinois).

The current practice location address for Sundance Methadone Treatment Center,llc is 4545 N Broadway St, Chicago, IL and can be reached out via phone at 773-784-1111 and via fax at 773-784-4910. You can also correspond with Sundance Methadone Treatment Center,llc through the mailing address at 4545 N BROADWAY ST, CHICAGO, IL - 60640-5975 (mailing address contact number: 773-784-1111).

Location: 4545 N Broadway St, Chicago, IL, 60640-5975
institution
Provider Profile Details
NPI Number
1316296007
Provider Name
Sundance Methadone Treatment Center,llc
Credential
Provider Entity Type
Organization
Address
4545 N Broadway St, Chicago, IL, 60640-5975
Phone Number
773-784-1111
Fax Number
773-784-4910
Provider Enumeration Date
09/10/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4545 N Broadway St
City
State
Zip
60640-5975
Phone Number
773-784-1111
Fax Number
773-784-4910
person
Provider Business Mailing Address Details
Address
4545 N Broadway St
City
State
Zip
60640-5975
Phone Number
773-784-1111
Fax Number
773-784-4910
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
A31350001 (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 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
License No.
A31350001 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
A31350001 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Hospital Units
Classification
Rehabilitation, Substance Use Disorder Unit
Speciality
-
Taxonomy
License No.
A31350001 (Illinois)
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
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