Organization · Type 2 NPI
Human Service Center
Substance Use Disorder Rehabilitation Clinic/Center · Peoria, IL
NPI number
1144549494
Active
Practice location
3420 N Rochelle Ln
Peoria, IL 61604-1035
Fax (309) 282-1089
Mailing address
PO Box 1346
Peoria, IL 61654-1346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | A0324-0007-A (IL) |
| Methadone Clinic | 261QM2800X | A-0324-0007A (IL) |
| Methadone Clinic | 261QM2800X | PS0144648 |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1144549494
Human Service Center's National Provider Identifier is 1144549494, issued on May 26, 2010. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Peoria, IL. The record was last updated on Dec 14, 2017.