Organization Name: | SOUTH SUBURBAN TRAINING & REHABILITATION SERVICES |
NPI Number: | 1053503094 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL STRICK (EXECUTIVE DIRECTOR) |
Mailing Address: | 1005 W End Ave Chicago Heights |
State: | IL US |
Postal Code: | 604112742 |
Phone Number: | 7087558030 |
Fax Number: | 7087558047 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 10/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | 946232 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |