Organization
EVA MAE RECOVERY HOPE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIYI KUYE (PRESIDENT)
(773) 941-8068
Entity
Organization
Contact information
Practice address
10723 S HALSTED ST, CHICAGO, IL 60628-3107
(773) 941-8068
(773) 941-8088
Mailing address
10723 S HALSTED ST, CHICAGO, IL 60628-3107
(773) 941-8068
(773) 941-8088
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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