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Organization
SPECIALIZED ASSISTANCE SERVICES, NFP
Active
Organization
SPECIALIZED ASSISTANCE SERVICES, NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. A. DORIS REYNOLDS JD (PRESIDENT AND CEO)
(312) 808-3218
Entity
Organization
Contact information
Practice address
333 W EVERGREEN ST, MANTENO, IL 60950-9329
(815) 468-6556
(815) 468-1098
Mailing address
2630 S WABASH AVE, CHICAGO, IL 60616-2825
(312) 808-3218
(312) 791-9037
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
A-0584-0002-A
IL
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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