Organization · Type 2 NPI
Chestnut Health Systems
Substance Abuse Rehabilitation Facility · Maryville, IL
Practice location
2148 Vadalabene Dr
Maryville, IL 62062-5632
Fax (618) 288-2278
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | 0126-0006 (IL) |
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
16 other providers at this address
- Chestnut Health Systems Inc.Substance Abuse Rehabilitation Facility Maryville, IL NPI 1134807357
- Chestnut Health Systems Inc.Substance Abuse Rehabilitation Facility Maryville, IL NPI 1609554815
- Chestnut Health Systems, Inc.Mental Health Clinic/Center (Including Community Mental Health Center) Maryville, IL NPI 1043587348
- Chestnut Health Systems, Inc.Federally Qualified Health Center (FQHC) Maryville, IL NPI 1467174177
- Amy D. Morby, L.C.S.W.Clinical Social Worker Maryville, IL NPI 1538300199
- Courtney L. HuppClinical Social Worker Maryville, IL NPI 1750719142
- Daniel Douglas HutchisonAddiction (Substance Use Disorder) Counselor Maryville, IL NPI 1568719797
- Jamie Lee Garman, BA, CARSAddiction (Substance Use Disorder) Counselor Maryville, IL NPI 1518232891
- Kolin Smith, B.S. CADCAddiction (Substance Use Disorder) Counselor Maryville, IL NPI 1497115315
- Larry Copp, M.S., CADCCounselor Maryville, IL NPI 1750740544
- Mackenzie R. Pherigo, LCSW, CADCClinical Social Worker Maryville, IL NPI 1801002142
- Nicholas Bauder, APNFamily Nurse Practitioner Maryville, IL NPI 1275216699
Other substance abuse rehabilitation facility providers in Maryville
About NPI 1801069059
Chestnut Health Systems's National Provider Identifier is 1801069059, issued on Apr 9, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Maryville, IL. The record was last updated on Mar 16, 2023.