Provider Demographics
NPI:1881804821
Name:TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Entity type:Organization
Organization Name:TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:FESMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-573-8271
Mailing Address - Street 1:700 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4350
Mailing Address - Country:US
Mailing Address - Phone:312-787-0208
Mailing Address - Fax:312-787-9663
Practice Address - Street 1:700 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4350
Practice Address - Country:US
Practice Address - Phone:312-787-0208
Practice Address - Fax:312-787-9663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA-0637-0005-A251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILA-0637-0048-AMedicaid
ILA-0637-0044-AMedicaid
ILA-0637-0003-AMedicaid
ILA-0637-0009-AMedicaid
ILA-0637-0033-AMedicaid
ILA-0637-0043-AMedicaid
ILA-0637-0041-AMedicaid
ILA-0637-0047-AMedicaid
ILA-0637-0012-AMedicaid
ILA-0637-0045-AMedicaid
ILA-0637-0046-AMedicaid
ILA-0637-0002-AMedicaid