Organization · Type 2 NPI
Illinois Medicaid-Substance Abuse Monmouth
Substance Use Disorder Rehabilitation Clinic/Center · Monmouth, IL
NPI number
1427425248
Active
Practice location
301 Industrial Park Rd
Monmouth, IL 61462-9794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A-0118-0011-A (IL) |
| Psychiatry Physician | 2084P0800X | None listed |
| Child & Adolescent Psychiatry Physician | 2084P0804X | None listed |
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1427425248
Illinois Medicaid-Substance Abuse Monmouth's National Provider Identifier is 1427425248, issued on Aug 27, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Monmouth, IL. The record was last updated on Aug 19, 2019.