NORTHWEST RECOVERY CENTER LLC NPI 1063989143

NPI Information

NORTHWEST RECOVERY CENTER LLC is a substance abuse rehabilitation facility in Chicago, IL. The provider is 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. NORTHWEST RECOVERY CENTER LLC NPI is 1063989143. The provider is registered as an organization entity type.

The provider's business location address is:

5352 N LINCOLN AVE STE 250
CHICAGO, IL
ZIP 60625-316
Phone: (773) 353-5047

The provider's authorized official is Mohammad Khamis .
The authorized official title is President/ceo and has the following contact phone number (773) 353-5047.

The enumeration date for this NPI number is 10/26/2018 and was last updated on 10/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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