Organization
SPECIALIZED ASSISTANCE SERVICES, NFP
Active
Organization
SPECIALIZED ASSISTANCE SERVICES, NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA MORENO (VP FINANCE & ADMINISTRATION)
(312) 808-3218
Entity
Organization
Contact information
Practice address
333 W EVERGREEN ST, MANTENO, IL 60950
(312) 808-3218
(312) 791-9037
Mailing address
2630 S WABASH AVE, CHICAGO, IL 60616-2825
(312) 808-3218
(312) 791-9037
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
A-0584-0002-A
IL
332900000X
Non-Pharmacy Dispensing Site
A-0584-0004-A
IL
Other
Enumeration date
01/27/2016
Last updated
08/10/2018
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