Whalio Doctors

NPI 1245236942

Center for Alchol & Drug Services, INC.

Organisation Substance Abuse Rehabilitation Facility Davenport, IA

Practice location

Address
1523 S Fairmount St, Davenport, IA 52802
Phone
(563) 322-2667
Fax
(563) 322-3671
Mailing address
1523 S Fairmount St, Davenport, IA 52802-3644

Authorised official

Name
Joseph Cowley
Title
President
Phone
(563) 326-4116

Registered specialties (4)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Methadone Clinic
Ambulatory Health Care Facilities Taxonomy 261QM2800X Licence A-0438-0002-A (IL)
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence A-0438-0002-A (IL)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1245236942
Entity type
Organization
NPI issued
27 Jun 2005
Record last updated
30 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.