| Restoring Inmates To America's Society | |
|
568 W Galena Blvd Aurora IL 60506-3855 | |
| (630) 966-0252 | |
| (630) 966-0005 |
| Full Name | Restoring Inmates To America's Society |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 568 W Galena Blvd, Aurora, Illinois |
| Authorized Official Name and Position | Linda R Martin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6309660252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Inmates To America's Society 568 W Galena Blvd Aurora IL 60506 Ph: (630) 966-0252 | Restoring Inmates To America's Society 568 W Galena Blvd Aurora IL 60506-3855 Ph: (630) 966-0252 |
| NPI Number | 1144682170 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144682170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A55460003A (Illinois) | Primary |
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