ALCOHOLIC REHABILITATION COMMUNITY HOME is a substance abuse rehabilitation facility in Granite City, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ALCOHOLIC REHABILITATION COMMUNITY HOME NPI is 1891910709. The provider is registered as an organization entity type.
The provider's business location address is:
1313 21ST ST
GRANITE CITY, IL
ZIP 62040-756
Phone: (618) 877-4987
Fax: (618) 877-4930
The provider's authorized official is Cary Green .
The authorized official title is Executive Director and has the following contact phone number (618) 877-4987.
The CLIA number assigned to this NPI record is 14D2084908 - other - dasa licensed facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/22/2020.