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Organization

SAFER FOUNDATION

Active
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Organization

SAFER FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR DICKSON (PRESIDENT AND CEO)
(312) 922-4767
Entity
Organization

Contact information

Practice address
808 S KEDZIE AVE, CHICAGO, IL 60612-3929
(773) 320-7160
Mailing address
571 W JACKSON BLVD, CHICAGO, IL 60661-5706

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A05920005A
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
A05920005A
IL

Other

Enumeration date
06/08/2018
Last updated
01/11/2022
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