Organization Active NPI

Center for Outpatient Alcoholism Treatment

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oak Lawn, IL
National Provider Identifier
1174670293
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT
Practice address
8938 S. Ridgeland Avenue, Suite 100
Oak Lawn, IL 60453
Phone
(708) 599-1067
Fax
(708) 599-1095
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pamela D. Lee, PHD
Title
C.E.O.
Phone
(708) 599-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

8938 S. Ridgeland Avenue, Suite 100
Oak Lawn, IL 60453

Mailing address

8938 S. Ridgeland Avenue, Suite 100
Oak Lawn, IL 60453
Phone (708) 599-1067

Other names 1

  • D/BA Project C.O.A.T. Doing business as

National Provider Directory

National Provider Directory

Locations

8938 Ridgeland Ave
Ste 100
Oak Lawn, IL 60453
Phone (708) 599-1067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174670293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8938 S. RIDGELAND AVENUE, SUITE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-599-1067",
            "fax_number": "708-599-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8938 S. RIDGELAND AVENUE, SUITE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-599-1067",
            "fax_number": "708-599-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "708-599-1067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/BA Project C.O.A.T.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.