Organization
PALOS PSYCHIATRIC & RECOVERY INST LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALIA COLLAZO (INS COORDINATOR)
(708) 448-8470
Entity
Organization
Contact information
Practice address
7300 W COLLEGE DR, 101, PALOS HEIGHTS, IL 60463-1152
(708) 448-8470
(708) 448-9651
Mailing address
7300 W COLLEGE DR, SUITE 101, PALOS HEIGHTS, IL 60463-1152
(708) 448-8470
(708) 448-9651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YM0800X
Mental Health Counselor
18000637
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
104100000X
Social Worker
—
IL
Other
Enumeration date
12/09/2005
Last updated
12/11/2007
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