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BLACK ALCOHOL DRUG SERVICE INFORMATION CENTER NPI 1346372380


NPI Information

NPI: 1346372380
Provider Name: BLACK ALCOHOL DRUG SERVICE INFORMATION CENTER

Other Name: B.A.S.I.C.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2600 WASHINGTON AVE
SAINT LOUIS, MO
ZIP 63103
Phone: (314) 621-9009
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BLACK ALCOHOL DRUG SERVICE INFORMATION CENTER is a substance abuse rehabilitation facility in Saint Louis, MO. The provider is 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. BLACK ALCOHOL DRUG SERVICE INFORMATION CENTER NPI is 1346372380. The provider is registered as an organization entity type.
The provider Other Name Is B.a.s.i.c..

The provider's business location address is:

2600 WASHINGTON AVE
SAINT LOUIS, MO
ZIP 63103-420
Phone: (314) 621-9009
Fax: (314) 621-1071

The provider's authorized official is Oval Laval Miller .
The authorized official title is Executive Director and has the following contact phone number (314) 621-9009.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.