South Suburban Council On Alcoholism and Substance Abuse
NPI #1558362863 in East Hazel Crest, Illinois
Provider Information
- NPI Number
- 1558362863
- Entity Type
- Organization
- Organization Name
- South Suburban Council On Alcoholism and Substance Abuse
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1909 CHEKER SQ
- City
- East Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-1442
- Phone
- (708) 647-3333
Authorized Official
- Name
- MR. ALLEN JOSEPH SANDUSKY, MA MBA
- Title
- PRESIDENT & CHIEF EXECUTIVE OFFICER
- Phone
- (708) 647-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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