Organization
REIGN-BOW TREATMENT CENTER
Active
Other names
Reign-Bow Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
CORITA CRUMPTON (CEO)
(773) 573-8587
Entity
Organization
Contact information
Practice address
55 W 22ND ST, LOMBARD, IL 60148-4854
(630) 448-2721
Mailing address
55 W 22ND ST, LOMBARD, IL 60148-4854
(630) 448-2721
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
N/A
—
Enumeration date
05/23/2022
Last updated
01/22/2025
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