OrganizationActive
Specialized Assistance Services, Nfp
NPI 1427592013 · Methadone Clinic · Manteno, IL
Provider details
- NPI number
- 1427592013
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- A. Reynolds, President and Ceo(312) 808-3218
- License
- A-0584-0002-A (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
333 W Evergreen St
Manteno, IL 60950-9329
Phone: (815) 468-6556
Fax: (815) 468-1098
Approximate (ZIP-level) locationGet directions
Mailing address
2630 S Wabash Ave
Chicago, IL 60616-2825
Registry dates
- Enumerated
- 2016-12-15
- Last updated
- 2016-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.