Organization · Type 2 NPI
Human Service Center
Substance Abuse Rehabilitation Facility · Peoria, IL
NPI number
1033340773
Active
Practice location
3500 W New Leaf Ln
Peoria, IL 61615-3366
Fax (309) 689-3072
Mailing address
PO Box 1346
Peoria, IL 61654-1346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | A0324-0008-A (IL) |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | A03240008A (IL) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2 other providers at this address
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About NPI 1033340773
Human Service Center's National Provider Identifier is 1033340773, issued on Jul 29, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Peoria, IL. The record was last updated on Jun 6, 2024.