Organization Name: | THE SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE |
NPI Number: | 1568837078 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN SANDUSKY (PRESIDENT & CEO) |
Mailing Address: | 1909 Cheker Sq East Hazel Crest |
State: | IL US |
Postal Code: | 604291442 |
Phone Number: | 7086473333 |
Fax Number: | 7086473399 |
NPI Enumeration Date: | 12/09/2015 |
NPI Last Update Date: | 12/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | A-0621-0002-A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |