Sundance Methadone Treatment Center,Llc

LBN: Sundance Methadone Treatment Center,Llc
Sundance Methadone Treatment Center,Llc is an health care organization with primary practice located at 4545 N Broadway St 3Rd Floor, Chicago IL 60640-5975. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Sundance Methadone Treatment Center,Llc can be contacted via phone (773) 784-1111, or through Woodard, Tony P via phone (773) 769-4545.

Contact Information

Primary practice address
4545 N Broadway St 3Rd Floor Chicago IL 60640-5975
Phone: (773) 784-1111
Fax: (773) 784-4910
Website:
Map and Directions
Authorized official contact:
Name: Woodard, Tony P MA/CADC
Phone: (773) 769-4545

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X A31350001 Illinois
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X A31350001 Illinois
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X A31350001 Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A31350001 Illinois

Profile Details

NPI number 1316296007
LBN Legal business name Sundance Methadone Treatment Center,Llc
DBA Doing business as
Authorized official Woodard, Tony P MA/CADC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2012
Last updated Nov 16th, 2021 - about 4 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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