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The South Suburban Council On Alcoholism And Substance Abuse
Substance Abuse Rehabilitation Facility in Hazel Crest, Illinois
NPI 1710049820

The South Suburban Council On Alcoholism And Substance Abuse is a Substance Abuse Rehabilitation Facility based in Hazel Crest, IL. The South Suburban Council On Alcoholism And Substance Abuse practices in Hazel Crest, IL. The NPI Number for The South Suburban Council On Alcoholism And Substance Abuse is 1710049820 and holds a License No. A-0621-0003-A (Illinois).

The current practice location address for The South Suburban Council On Alcoholism And Substance Abuse is 1909 174Th St, Hazel Crest, IL and can be reached out via phone at 708-647-3333.

Location: 1909 174Th St, Hazel Crest, IL, 60429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710049820
Provider Name
The South Suburban Council On Alcoholism And Substance Abuse
Credential
Provider Entity Type
Organization
Address
1909 174Th St, Hazel Crest, IL, 60429
Phone Number
708-647-3333
Fax Number
Provider Enumeration Date
12/14/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1909 174Th St
City
Hazel Crest
State
Illinois
Zip
60429
Phone Number
708-647-3333
Fax Number
person
Provider Business Mailing Address Details
Address
1909 174Th St
City
Hazel Crest
State
Illinois
Zip
60429
Phone Number
708-647-3333
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
261QR0401X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
A-0621-0003-A (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
A-0621-0003-A (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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
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