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Way Back Inn
Substance Abuse Rehabilitation Facility in Maywood, Illinois
NPI 1730472275

Way Back Inn is a Substance Abuse Rehabilitation Facility based in Maywood, IL. Way Back Inn practices in Maywood, IL. The NPI Number for Way Back Inn is 1730472275 and holds a License No. A-0388-0008-A (Illinois).

The current practice location address for Way Back Inn is 104 Oak St., Maywood, IL and can be reached out via phone at 708-344-3301 and via fax at 708-344-2944.

Location: 104 Oak St., Maywood, IL, 60153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730472275
Provider Name
Way Back Inn
Credential
Provider Entity Type
Organization
Address
104 Oak St., Maywood, IL, 60153
Phone Number
708-344-3301
Fax Number
708-344-2944
Provider Enumeration Date
05/17/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A-0388-0002-A 01 IL DHS-DASA
C-A-0388-0002-A 05 IL
institution
Provider Business Practice Location Address Details
Address
104 Oak St.
City
Maywood
State
Illinois
Zip
60153
Phone Number
708-344-3301
Fax Number
708-344-2944
person
Provider Business Mailing Address Details
Address
104 Oak St.
City
Maywood
State
Illinois
Zip
60153
Phone Number
708-344-3301
Fax Number
708-344-2944
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
A-0388-0011-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
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
A-0388-0008-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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