Organization
RINCON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY BORRAYO (PRESIDENT/CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
3809 W GRAND AVE, CHICAGO, IL 60651
(773) 276-0200
(773) 276-4226
Mailing address
3942 W NORTH AVE, CHICAGO, IL 60647-4639
(773) 564-9070
(773) 249-9362
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
11/01/2018
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