Provider Demographics
NPI:1487238390
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 1:4239 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2623
Mailing Address - Country:US
Mailing Address - Phone:708-529-0188
Mailing Address - Fax:
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:773-823-1759
Practice Address - Fax:773-823-1845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty