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Darnell Davis
Substance Abuse Rehabilitation Facility in East Hazel Crest, Illinois
NPI 1790131647

Darnell Davis is a Substance Abuse Rehabilitation Facility based in East Hazel Crest, IL. Darnell Davis practices in East Hazel Crest, IL. The NPI Number for Darnell Davis is 1790131647 and holds a License No. 101YAOYOOX (Illinois).

The current practice location address for Darnell Davis is 1909 Cheker Sq, East Hazel Crest, IL and can be reached out via phone at 708-647-3331.

Location: 1909 Cheker Sq, East Hazel Crest, IL, 60429-1442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790131647
Provider Name
Darnell Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1909 Cheker Sq, East Hazel Crest, IL, 60429-1442
Phone Number
708-647-3331
Fax Number
Provider Enumeration Date
05/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1909 Cheker Sq
City
East Hazel Crest
State
Illinois
Zip
60429-1442
Phone Number
708-647-3331
Fax Number
person
Provider Business Mailing Address Details
Address
1909 Cheker Sq
City
East Hazel Crest
State
Illinois
Zip
60429-1442
Phone Number
708-647-3331
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
101YAOYOOX (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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