Organization · Type 2 NPI
Illinois Alcohol and Drug Evaluation Service, Inc
Children's Substance Abuse Rehabilitation Facility · Peoria, IL
Practice location
7501 N University St, Suite 201
Peoria, IL 61614-1222
Fax (309) 692-5262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | A50140001A (IL) |
Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
6 other providers at this address
- James L. Swingler M.d. Gynecology & Obstetrics S.c.Obstetrics & Gynecology Physician Peoria, IL NPI 1407153539
- Rosewood Home Health Services, IncHome Health Agency Peoria, IL NPI 1720083496
- Cheryl Bjerke, LCPCRegistered Nurse Peoria, IL NPI 1497966717
- Gregory Dennis Eberle, ATCAthletic Trainer Peoria, IL NPI 1083682470
- Sarah Enid Nieves, DCChiropractor Peoria, IL NPI 1114208055
- Thomas Albert Goossens, LCSWMental Health Counselor Peoria, IL NPI 1225018815
About NPI 1386854750
Illinois Alcohol and Drug Evaluation Service, Inc's National Provider Identifier is 1386854750, issued on May 23, 2007. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Peoria, IL. The record was last updated on May 14, 2008.