Organization
EVA MAE RECOVERY HOPE INC.
Active
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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