Organization · Type 2 NPI

Wells Center Inc

Substance Abuse Rehabilitation Facility · Jacksonville, IL

NPI number 1205933561 Active

Practice location

1300 Lincoln Avenue
Jacksonville, IL 62650

Fax (217) 243-2278

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	A0613007A (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.

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NPI record

NPI: 1205933561
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

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Jacksonville Area Council On Alcoholism · former legal business name

Authorized official

Mr. Bruce M Carter, MPA CRADC ICADC
Executive Director
(217) 243-1871

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About NPI 1205933561

Wells Center Inc's National Provider Identifier is 1205933561, issued on Sep 20, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Jacksonville, IL. The record was last updated on Aug 22, 2020.