Organization
LATINO TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIANA C PUJALS MA, CADC (ASSISTENT DIRECTOR)
(847) 695-9155
Entity
Organization
Contact information
Practice address
54 S GROVE AVE, ELGIN, IL 60120-6404
(847) 695-9155
Mailing address
54 S GROVE AVE, ELGIN, IL 60120-6404
(847) 695-9155
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
A-0969-0001-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-0969-0001-A
—
IL
Enumeration date
02/25/2008
Last updated
11/04/2024
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