Ddbhc Family Centered Treatment and Recovery Support Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

DDBHC FAMILY CENTERED TREATMENT AND RECOVERY SUPPORT SERVICES

Practice address

700 E Court St
Kankakee, IL 60901-4131

Phone

(815) 939-0125

Fax

(815) 939-1249

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Eddy Borrayo

Title

President/Ceo

Phone

(773) 564-9070

Specialties & licenses 1

Addresses

Tax ID family

Duane Dean Behavioral Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Duane Dean Behavioral Health Center

  • Methadone Clinic
  • Kankakee, IL
  • NPI 1043345119
  NPD tax ID
• Duane Dean Behavioral Health Center

  • Clinical Medical Laboratory
  • Kankakee, IL
  • NPI 1982366027
  NPD tax ID

Locations

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1942688973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N 5TH AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014131",
            "telephone_number": "815-939-0125",
            "fax_number": "815-939-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014131",
            "telephone_number": "815-939-0125",
            "fax_number": "815-939-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDBHC FAMILY CENTERED TREATMENT AND RECOVERY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "BORRAYO",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-564-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebo Dadzie, PHARMD
• Kelly J Daly
• Aline V Dang, DO
• Grace Victoria David, DPM
• Kim Marie Davis
• David I. Decker
• Steven Decker, D.O.
• Samuel G Deguzman, MD
• Tamela Deschand, OTR/L
• Barbara Jean Deyoung, FNP-BC

• Substance Use Disorder Rehabilitation Clinic/Center in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.