Organization
SPECIALIZED ASSISTANCE SERVICES, NFP
Active
Organization
SPECIALIZED ASSISTANCE SERVICES, NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA MORENO (VP FINANCE & ADMINISTRATION)
(312) 808-3218
Entity
Organization
Contact information
Practice address
2630 S. WABASH, CHICAGO, IL 60616
(312) 808-3218
(312) 791-9037
Mailing address
2630 S. WABASH, CHICAGO, IL 60616
(312) 808-3218
(312) 791-9037
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
A-0584-0001A
IL
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-0584-0002-A
—
IL
Enumeration date
02/14/2008
Last updated
08/17/2018
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