Organization Name: | HEALTHCARE ALTERNATIVE SYSTEMS, INC. |
NPI Number: | 1831580588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCO E JACOME (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1915 W Roosevelt Rd Broadview |
State: | IL US |
Postal Code: | 601552925 |
Phone Number: | 7083347089 |
Fax Number: | 7083347141 |
NPI Enumeration Date: | 02/16/2015 |
NPI Last Update Date: | 02/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | A-0589-O013-A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |