HANNIBAL COUNCIL ON ALCOHOL & DRUG ABUSE NPI 1659718609

NPI Information

  • NPI: 1659718609
  • Provider Name: HANNIBAL COUNCIL ON ALCOHOL & DRUG ABUSE
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 146 COMMUNICATION DR
    HANNIBAL, MO
    ZIP 63401
  • Phone: (573) 248-1196

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NPI Details

HANNIBAL COUNCIL ON ALCOHOL & DRUG ABUSE is a rehabilitation and substance use disorder clinic center in Hannibal, MO. HANNIBAL COUNCIL ON ALCOHOL & DRUG ABUSE NPI is 1659718609. The provider is registered as an organization entity type.

The provider's business location address is:

146 COMMUNICATION DR
HANNIBAL, MO
ZIP 63401-672
Phone: (573) 248-1196
Fax: (573) 231-0982

The provider's authorized official is Jennifer Jo Wilson .
The authorized official title is Executive Director and has the following contact phone number (573) 248-1196.

The enumeration date for this NPI number is 5/31/2013 and was last updated on 5/31/2013.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

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This page was last updated on: 3/30/2025

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