HUMAN SERVICE CENTER NPI 1144549494

NPI Information

NPI: 1144549494
Provider Name: HUMAN SERVICE CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3420 N ROCHELLE LN
PEORIA, IL
ZIP 61604
Phone: (309) 222-2185
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HUMAN SERVICE CENTER is a rehabilitation and substance use disorder clinic center in Peoria, IL. HUMAN SERVICE CENTER NPI is 1144549494. The provider is registered as an organization entity type.

The provider's business location address is:

3420 N ROCHELLE LN
PEORIA, IL
ZIP 61604-035
Phone: (309) 222-2185
Fax: (309) 282-1089

The provider's authorized official is Michael Kennedy .
The authorized official title is President/ceo and has the following contact phone number (309) 671-8005.

The enumeration date for this NPI number is 5/26/2010 and was last updated on 12/14/2017.

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		A0324-0007-A	ILLINOIS	No
2	261QM2800X	Clinic/Center	Methadone	A-0324-0007A	ILLINOIS	No
3	261QM2800X	Clinic/Center	Methadone	PS0144648		No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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: 4/28/2024

NPI Synchronization or Removal

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