D/BA PROJECT C.O.A.T. – NPI #1174670293
Clinic/Center

D/BA PROJECT C.O.A.T. is an AHC clinic located in OAK LAWN, IL. NPPES has assigned the NPI number 1174670293 to D/BA PROJECT C.O.A.T. on January 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “D/BA PROJECT C.O.A.T.” is a dba name, the actual legal business name for this organization is CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for D/BA PROJECT C.O.A.T. below.

NPI Profile for
CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT

NPI Number
1174670293
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER FOR OUTPATIENT ALCOHOLISM TREATMENT
Doing Business As (dba): D/BA PROJECT C.O.A.T.
Primary location
8938 S. RIDGELAND AVENUE, SUITE 100
OAK LAWN, IL 60453
Phone: (708) 599-1067 Fax: (708) 599-1095
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAMELA LEE
C.E.O.
Phone: (708) 599-1067
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.