CENTERSTONE OF ILLINOIS INC NPI 1033570262

NPI Information

NPI: 1033570262
Provider Name: CENTERSTONE OF ILLINOIS, INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2615 EDWARDS ST
ALTON, IL
ZIP 62002
Phone: (618) 937-6483
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CENTERSTONE OF ILLINOIS, INC is a rehabilitation and substance use disorder clinic center in Alton, IL. CENTERSTONE OF ILLINOIS, INC NPI is 1033570262. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2615 EDWARDS ST
ALTON, IL
ZIP 62002-915
Phone: (618) 937-6483

The provider's authorized official is John Markley .
The authorized official title is Ceo and has the following contact phone number (618) 937-6483.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 3/23/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	261QM2800X	Clinic/Center	Methadone	A-0234-0010-A	ILLINOIS	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-0234-0010-A	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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