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Great Heights Otp
Methadone Clinic in Ottawa, Illinois
NPI 1881139418

Great Heights Otp is a Methadone Clinic based in Ottawa, IL and is specialized in Methadone. Great Heights Otp practices in Ottawa, IL. The NPI Number for Great Heights Otp is 1881139418 and holds a License No. (Illinois).

The current practice location address for Great Heights Otp is 315 E Mckinley Rd, Ottawa, IL and can be reached out via phone at 815-434-0228.

Location: 315 E Mckinley Rd, Ottawa, IL, 61350-4805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881139418
Provider Name
Great Heights Otp
Credential
Provider Entity Type
Organization
Address
315 E Mckinley Rd, Ottawa, IL, 61350-4805
Phone Number
815-434-0228
Fax Number
Provider Enumeration Date
01/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A-6548-0002-A 01 IL SUPR
institution
Provider Business Practice Location Address Details
Address
315 E Mckinley Rd
City
Ottawa
State
Illinois
Zip
61350-4805
Phone Number
815-434-0228
Fax Number
person
Provider Business Mailing Address Details
Address
315 E Mckinley Rd
City
Ottawa
State
Illinois
Zip
61350-4805
Phone Number
815-434-0228
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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