Organization · Type 2 NPI

Human Service Center

Substance Abuse Rehabilitation Facility · Peoria, IL

NPI number 1225415136 Active

Practice location

3500 W New Leaf Lane, Retreat Wing
Peoria, IL 61615

Mailing address

PO Box 1346
Peoria, IL 61654-1346

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XA-0324-0009-A (IL)
Substance Abuse Rehabilitation Facility Primary 324500000X003240009 (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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About NPI 1225415136

Human Service Center's National Provider Identifier is 1225415136, issued on Apr 29, 2015. 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 Dec 12, 2017.