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Silver Glen Road Opco Llc
Substance Abuse Rehabilitation Facility in St Charles, Illinois
NPI 1578187886

Silver Glen Road Opco Llc is a Substance Abuse Rehabilitation Facility based in King Of Prussia, IL. Silver Glen Road Opco Llc practices in St Charles, IL. The NPI Number for Silver Glen Road Opco Llc is 1578187886 and holds a License No. (Illinois).

The current practice location address for Silver Glen Road Opco Llc is 41W400 Silver Glen Rd, St Charles, IL and can be reached out via phone at 610-994-2968. You can also correspond with Silver Glen Road Opco Llc through the mailing address at 2201 RENAISSANCE BLVD FL 3, KING OF PRUSSIA, PA - 19406-2709 (mailing address contact number: 610-994-2900).

Location: 41W400 Silver Glen Rd, St Charles, IL, 19406-2709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578187886
Provider Name
Silver Glen Road Opco Llc
Credential
Provider Entity Type
Organization
Address
41W400 Silver Glen Rd, St Charles, IL, 19406-2709
Phone Number
610-994-2968
Fax Number
Provider Enumeration Date
06/02/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
41W400 Silver Glen Rd
City
St Charles
State
Illinois
Zip
60175-8453
Phone Number
610-994-2968
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Renaissance Blvd Fl 3
City
King Of Prussia
State
Pennsylvania
Zip
19406-2709
Phone Number
610-994-2900
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
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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