Organization
ELITE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT ELLIS (FOUNDER/CEO)
(708) 755-5117
Entity
Organization
Contact information
Practice address
395 W LINCOLN HWY, CHICAGO HEIGHTS, IL 60411-2442
(708) 755-5117
(708) 755-5404
Mailing address
PO BOX 2122, CHICAGO HEIGHTS, IL 60412-8922
(708) 755-5117
(708) 755-5404
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
A78460001A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800087456001
—
IL
Enumeration date
10/11/2016
Last updated
04/26/2022
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