| Organization Name: | PALOS PSYCHIATRIC & RECOVERY INST LTD |
| NPI Number: | 1063497345 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALIA COLLAZO (INS COORDINATOR) |
| Mailing Address: | 7300 W College Dr 101 Palos Heights |
| State: | IL US |
| Postal Code: | 604631152 |
| Phone Number: | 7084488470 |
| Fax Number: | 7084489651 |
| NPI Enumeration Date: | 12/09/2005 |
| NPI Last Update Date: | 12/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 18000637 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |