TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES NPI 1104284587

NPI Information

NPI: 1104284587
Provider Name: TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES

Doing Business As: TASC, INC.

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
401 W STATE ST
ROCKFORD, IL
ZIP 61101
Phone: (815) 965-1106
Get Directions

TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES is a rehabilitation and substance use disorder clinic center in Rockford, IL. TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES NPI is 1104284587. The provider is registered as an organization entity type.
The provider Is Doing Business As Tasc, Inc..

The provider's business location address is:

401 W STATE ST
ROCKFORD, IL
ZIP 61101-248
Phone: (815) 965-1106
Fax: (815) 964-5784

The provider's authorized official is Roy Fesmire .
The authorized official title is Vice President And Cfo and has the following contact phone number (312) 787-0208.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 11/28/2016.

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	251S00000X	Community/Behavioral Health		A-0637-0043-A	ILLINOIS	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-0637-0043-A	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A-0637-0043-A	MEDICAID	ILLINOIS

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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