Organization
DDBHC FAMILY CENTERED TREATMENT AND RECOVERY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY BORRAYO (PRESIDENT/CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
700 E COURT ST, KANKAKEE, IL 60901-4131
(815) 939-0125
(815) 939-1249
Mailing address
1015 N 5TH AVE, KANKAKEE, IL 60901-4131
(815) 939-0125
(815) 939-1249
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/04/2021
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