NPI:
1174670293
Provider Name:
CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT
Doing Business As: D/BA PROJECT C.O.A.T.
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
8938 S. RIDGELAND AVENUE, SUITE 100
OAK LAWN, IL
ZIP 60453
Phone:
(708) 599-1067
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CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT is a rehabilitation and substance use disorder clinic center in Oak Lawn, IL. CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT NPI is 1174670293. The provider is registered as an organization entity type.
The provider Is Doing Business As D/ba Project C.o.a.t..
The provider's business location address is:
8938 S. RIDGELAND AVENUE, SUITE 100
OAK LAWN, IL
ZIP 60453
Phone: (708) 599-1067
Fax: (708) 599-1095
The provider's authorized official is Pamela D. Lee .
The authorized official title is C.e.o. and has the following contact phone number (708) 599-1067.
The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/21/2022.