COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY INC. NPI 1437328283

NPI Information

NPI: 1437328283
Provider Name: COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 14D2057324

Address:
505 S 8TH ST
EAST SAINT LOUIS, IL
ZIP 62201
Phone: (618) 482-7330
Get Directions

COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. is a methadone clinic center in East Saint Louis, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. NPI is 1437328283. The provider is registered as an organization entity type.

The provider's business location address is:

505 S 8TH ST
EAST SAINT LOUIS, IL
ZIP 62201
Phone: (618) 482-7330

The provider's authorized official is Joseph J Harper .
The authorized official title is Executive Director and has the following contact phone number (618) 482-7330.

The CLIA number assigned to this NPI record is 14D2057324 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 12/5/2023.

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	261QM2800X	Clinic/Center	Methadone			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	04037	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: 5/5/2024

NPI Synchronization or Removal

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