OrganizationActive
Break the Cycle Foundation Inc
NPI 1538902168 · Methadone Clinic · Chicago, IL
Provider details
- NPI number
- 1538902168
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyler Penrod, Authorized Rep(305) 900-4715
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Practice location
4103 W 26th St
Chicago, IL 60623-4313
Phone: (773) 521-1601
Approximate (ZIP-level) locationGet directions
Mailing address
4103 W 26th St
Chicago, IL 60623-4313
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.