CENTER FOR ALCHOL & DRUG SERVICES, INC.; NPI #1245236942

Contact Information

CENTER FOR ALCHOL & DRUG SERVICES, INC.

1523 S FAIRMOUNT ST
DAVENPORT, IA 52802

Phone: 563-322-2667
Fax: 563-322-3671
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Substance Abuse Disorder Rehabilitation Facility	324500000X
Methadone	261QM2800X
Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for CENTER FOR ALCHOL & DRUG SERVICES, INC.

NPI Number 1245236942

LBN Legal business name CENTER FOR ALCHOL & DRUG SERVICES, INC.

Authorized official JOSEPH COWLEY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/27/2005

Last updated 05/30/2018 - About 8 years ago

Identifiers

License #

A-0438-0002-A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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