Organization
EVA MAE RECOVERY HOPE INC.
Active
Other names
Eva Mae Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADENIYI KUYE (PRESIDENT)
(773) 952-6861
Entity
Organization
Contact information
Practice address
6614 S HALSTED ST, SUITE 102, CHICAGO, IL 60621-1812
(773) 952-6861
(773) 952-6868
Mailing address
6614 S HALSTED ST, SUITE 102, CHICAGO, IL 60621-1812
(773) 952-6861
(773) 952-6868
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
A-5581-0001-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-5581-001-A
IL
Other
Enumeration date
02/21/2015
Last updated
07/15/2019
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