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Organization
COLUMBUS MANOR
Active
Organization
COLUMBUS MANOR
Active
Parent organization
CALUMET COUNSELING AND DUI SERVICES,INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALUMET COUNSELING AND DUI SERVICES,INC
Authorized official
JAMES EDWARD BECKETT MD (MEDICAL DIRECTOR/PRESIDENT)
(708) 341-6707
Entity
Organization
Contact information
Practice address
5107 W JACKSON BLVD, CHICAGO, IL 60644-4316
(708) 862-4054
(708) 862-4138
Mailing address
1609 SIBLEY BLVD, CALUMET CITY, IL 60409-2217
(708) 862-4054
(708) 862-4138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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