Provider Demographics
NPI:1013718303
Name:GREATER WORKS REINTEGRATION OUTREACH CENTER, INC.
Entity type:Organization
Organization Name:GREATER WORKS REINTEGRATION OUTREACH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ETHEL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CADC, CODP1
Authorized Official - Phone:630-499-6197
Mailing Address - Street 1:18247 CORK RD
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-4709
Mailing Address - Country:US
Mailing Address - Phone:773-837-1962
Mailing Address - Fax:
Practice Address - Street 1:4747 LINCOLN MALL DR STE 410
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-3821
Practice Address - Country:US
Practice Address - Phone:630-499-6197
Practice Address - Fax:630-423-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder