Organization Name: | THERAPEUTIC INTERVENTIONS, INC. |
NPI Number: | 1134270036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MASSARAT A BALA (CEO MEDICAL DIRECTOR) |
Mailing Address: | 1645 Hicks Rd Suite C Rolling Meadows |
State: | IL US |
Postal Code: | 600081227 |
Phone Number: | 8479914800 |
Fax Number: | 8479914866 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2800X |
License Number: | A-6192-0001-A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Methadone Clinic |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |