Organization
LATINO TREATMENT CENTER
Active
Other names
Latino Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIANA TRINO MA, CADC (EXECUTIVE DIRECTOR)
(630) 297-9707
Entity
Organization
Contact information
Practice address
5413 N LINCOLN AVE, CHICAGO, IL 60625-2222
(773) 465-1161
Mailing address
5413 N LINCOLN AVE, CHICAGO, IL 60625-2222
(773) 465-1161
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-0969-0006-A
—
IL
Enumeration date
05/21/2021
Last updated
09/09/2021
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