Organization
MEADOWS OUTPATIENT CENTER ILLINOIS LLC
Active
Organization
MEADOWS OUTPATIENT CENTER ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY LIVINGSTON (VP OF REVENUE CYCLE)
(928) 684-4039
Entity
Organization
Contact information
Practice address
3250 LACEY RD STE 100, DOWNERS GROVE, IL 60515-8354
(928) 684-4039
Mailing address
19820 N 7TH ST STE 205, PHOENIX, AZ 85024-1694
(928) 684-4039
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/20/2022
Last updated
12/26/2022
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