NPI 1386854750

Illinois Alcohol and Drug Evaluation Service, INC

Organisation Children's Substance Abuse Rehabilitation Facility Peoria, IL

Practice location

Address: 7501 N University St Suite 201, Peoria, IL 61614-1222
Phone: (309) 692-9236
Fax: (309) 692-5262

Authorised official

Name: Ann Therese Bahl
Title: Co-Owner Vice President
Phone: (309) 692-9236

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 3245S0500X Licence A50140001A (IL)

Other Substance Abuse Rehabilitation Facility providers in Illinois →

Registry record

NPI: 1386854750
Entity type: Organization
NPI issued: 23 May 2007
Record last updated: 14 May 2008

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.