Alcoholic Rehabilitation Community Home

LBN: Alcoholic Rehabilitation Community Home
Alcoholic Rehabilitation Community Home is an health care organization with primary practice located at 1313 21St St , Granite City IL 62040-4756. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Alcoholic Rehabilitation Community Home can be contacted via phone (618) 877-4987, or through Green, Cary via phone (618) 877-4987.

Contact Information

Primary practice address
1313 21St St Granite City IL 62040-4756
Phone: (618) 877-4987
Fax: (618) 877-4930
Website:
Map and Directions
Authorized official contact:
Name: Green, Cary CADC
Phone: (618) 877-4987

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A06870001A Illinois

Profile Details

NPI number 1891910709
LBN Legal business name Alcoholic Rehabilitation Community Home
DBA Doing business as
Authorized official Green, Cary CADC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891910709 NPPES
Illinois Other A06870001A DHS - OASA

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