The South Suburban Council on Alcoholism and Substance Abuse
The South Suburban Council on Alcoholism and Substance Abuse is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Hazel Crest, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 6
Practice location Address checks out
1909 174th StHazel Crest, IL 60429
Phone: (708) 647-3333
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence A-0621-0003-A (IL) |
|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | Taxonomy 261QR0401X · Licence A-0621-0003-A (IL) |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X · Licence A-0621-0004A (IL) |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X · Licence A-0621-0002-A (IL) |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X · Licence A-0621-0001-A (IL) |
Record details
| NPI number | 1710049820 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Myron Graham — Ceo · (708) 647-3305 |
| NPI enumerated | December 14, 2006 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | June 10, 2021 |
| Mailing address | 1909 174th St, Hazel Crest, IL 60429 |