Provider Demographics
NPI:1790338150
Name:SOLLEYS HOUSE
Entity Type:Organization
Organization Name:SOLLEYS HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:BRETT
Authorized Official - Suffix:
Authorized Official - Credentials:CAADC
Authorized Official - Phone:708-529-0188
Mailing Address - Street 1:4163 S ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60632-1870
Mailing Address - Country:US
Mailing Address - Phone:773-475-6055
Mailing Address - Fax:773-321-9735
Practice Address - Street 1:4163 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60632-1870
Practice Address - Country:US
Practice Address - Phone:773-475-6055
Practice Address - Fax:773-321-9735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder