| Organization Name: | CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT KNOWN AS PROJECT COAT |
| NPI Number: | 1174670293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA D. LEE (CLINICAL DIRECTOR) |
| Mailing Address: | 9730 S Western Ave Ste 203 Evergreen Park |
| State: | IL US |
| Postal Code: | 608052854 |
| Phone Number: | 7084253000 |
| Fax Number: | 7084256569 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |