Provider Demographics
NPI:1720144686
Name:ARLINGTON CENTER FOR RECOVERY, LLC
Entity Type:Organization
Organization Name:ARLINGTON CENTER FOR RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FELLERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CADC
Authorized Official - Phone:847-427-9680
Mailing Address - Street 1:1655 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:200
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3783
Mailing Address - Country:US
Mailing Address - Phone:847-427-9680
Mailing Address - Fax:
Practice Address - Street 1:1655 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:200
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3783
Practice Address - Country:US
Practice Address - Phone:847-427-9680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA94400001A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health