Organization · Type 2 NPI

Human Support Services

Substance Use Disorder Rehabilitation Clinic/Center · Waterloo, IL

NPI number 1639660244 Active

Practice location

988 N Illinois Route 3
Waterloo, IL 62298-1059

Call (618) 939-4444 Map

Fax (618) 939-4181

Mailing address

PO Box 146
Waterloo, IL 62298-0146

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XA-0112-0001-A (IL)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1639660244

Human Support Services's National Provider Identifier is 1639660244, issued on May 21, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Waterloo, IL. The record was last updated on May 21, 2018.