National Provider Identifier Database

SPECIALIZED ASSISTANCE SERVICES NFP
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

SPECIALIZED ASSISTANCE SERVICES, NFP
333 W EVERGREEN ST
MANTENO, IL60950
Phone: 312-808-3218
Fax: 312-791-9037
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Non-Pharmacy Dispensing Site 332900000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for SPECIALIZED ASSISTANCE SERVICES, NFP

NPI Number 1710344338
Legal business name
LBN
SPECIALIZED ASSISTANCE SERVICES, NFP
Authorized official BELINDA MORENO - (VP FINANCE & ADMINISTRATION)
Entity Organization
Organization subpart No
Enumeration date 01/27/2016
Last updated 08/10/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: A-0584-0002-A
  • IL License #: A-0584-0004-A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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