Organization · Type 2 NPI
Illinois Medicaid-Substance Abuse Macomb
Substance Use Disorder Rehabilitation Clinic/Center · Macomb, IL
NPI number
1588032460
Active
Practice location
900 S Deer Rd
Macomb, IL 61455-2639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A-0118-0010-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...
10 other providers at this address
- Bridgeway IncMental Health Clinic/Center (Including Community Mental Health Center) Macomb, IL NPI 1518185925
- Bridgeway, IncCommunity/Behavioral Health Agency Macomb, IL NPI 1982827499
- Aimee Anderson, QMHPCounselor Macomb, IL NPI 1104394295
- Amanda Michele Bolte, CADCAddiction (Substance Use Disorder) Counselor Macomb, IL NPI 1457625592
- Cari Collins, CADCSubstance Use Disorder Rehabilitation Clinic/Center Macomb, IL NPI 1265004873
- Crystal D. Stimpson, RNPsychiatric/Mental Health Registered Nurse Macomb, IL NPI 1902385222
- Dorothy J. Loop, RNCase Management Registered Nurse Macomb, IL NPI 1629292123
- John Robert Prain, CADCCounselor Macomb, IL NPI 1396867420
- Kathleen E. Markey, R.N.Case Management Registered Nurse Macomb, IL NPI 1821217084
- Rachelle D. McCoy, R N CCase Management Registered Nurse Macomb, IL NPI 1629292156
Other substance use disorder rehabilitation clinic/center providers in Macomb
About NPI 1588032460
Illinois Medicaid-Substance Abuse Macomb's National Provider Identifier is 1588032460, issued on Sep 9, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Macomb, IL. The record was last updated on Aug 19, 2019.