Organization
ELEGANCE RECOVERY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYRA HOLT (PRESIDENT)
(630) 328-3709
Entity
Organization
Contact information
Practice address
900 S CLARK ST, CHICAGO, IL 60605-3679
(312) 324-4991
Mailing address
422 W WALL ST, WORDEN, IL 62097-1242
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/29/2025
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