| Ctf Access-supr | |
|
530 E 162nd St South Holland IL 60473-2326 | |
| (708) 429-1260 | |
| (708) 429-9170 |
| Full Name | Ctf Access-supr |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 530 E 162nd St, South Holland, Illinois |
| Authorized Official Name and Position | Kelli L Cody (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 7084291260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ctf Access-supr 18230 Orland Pkwy Orland Park IL 60467-5688 Ph: (708) 429-1260 | Ctf Access-supr 530 E 162nd St South Holland IL 60473-2326 Ph: (708) 429-1260 |
| NPI Number | 1689339590 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689339590 | NPI | - | NPPES |
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