Organization · Type 2 NPI
Chesntut Health Systems, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · De Soto, MO
NPI number
1790650877
Active
Practice location
400 Boyd St
De Soto, MO 63020-1718
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1790650877
Chesntut Health Systems, Inc.'s National Provider Identifier is 1790650877, issued on Oct 8, 2025. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in De Soto, MO. The record was last updated on Oct 8, 2025.