B.O.O.C. Inc.
Organization Active NPI Addiction (Substance Use Disorder) Counselor · South Holland, IL
NPI 1881422293 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1881422293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- B.O.O.C. INC.
- Practice address
- 15475 S Park Ave Ste 101
South Holland, IL 60473-1378 - Phone
- (312) 818-8120
- NPI assigned
- Jul 25, 2024
- Organization subpart
- No
Authorized official
- Name
- Lance L Davis
- Title
- President - Ceo
- Phone
- (708) 849-3237
National Provider Directory
Locations
15475 S Park Ave
Ste 101
South Holland, IL 60473
Phone (312) 818-8120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes | ||
| Pastoral Counselor |
101YP1600X |
Addresses
Primary practice location
15475 S Park Ave Ste 101
South Holland, IL 60473-1378
Mailing address
15475 S Park Ave Ste 101
South Holland, IL 60473-1378
Phone (312) 818-8120
Other names
- Building Our Own Community
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All providers in South Holland, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.