It'S About Change Sober Living, Inc.

LBN: It'S About Change Sober Living, Inc.
It'S About Change Sober Living, Inc. is an health care organization with primary practice located at 1604 Horbor St. , Calumet City IL 60409. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. It'S About Change Sober Living, Inc. can be contacted via phone (708) 360-3205, or through Dillard, Anthony via phone (708) 772-5014.

Contact Information

Primary practice address
1604 Horbor St. Calumet City IL 60409
Phone: (708) 360-3205
Fax: (708) 868-8335
Website:
Map and Directions
Authorized official contact:
Name: Dillard, Anthony NCRS
Phone: (708) 772-5014

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X A-8723-0003-A Illinois

Profile Details

NPI number 1801336961
LBN Legal business name It'S About Change Sober Living, Inc.
DBA Doing business as
Authorized official Dillard, Anthony NCRS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2017
Last updated Mar 8th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801336961 NPPES
Illinois MEDICAID C/A-8723-0003-A

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