Black Alcohol/Drug Service Information Center
LBN: Black Alcohol/Drug Service Information Center
Black Alcohol/Drug Service Information Center is an health care organization with primary practice located at 3026 Locust St , Saint Louis MO 63103-1329. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty.
Black Alcohol/Drug Service Information Center can be contacted via phone (314) 621-9009, or through Miller, Nina Carol via phone (314) 621-9009.
Contact Information
Primary practice address
3026 Locust St
Saint Louis MO 63103-1329
Phone: (314) 621-9009
Fax: (314) 621-1071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 8043 | Missouri |
Profile Details
| NPI number | 1750682043 |
|---|---|
| LBN Legal business name | Black Alcohol/Drug Service Information Center |
| DBA Doing business as | |
| Authorized official | Miller, Nina Carol |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2010 |
| Last updated | Nov 3rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750682043 | NPPES |
| Missouri | Other | 1346372380 | EXISTING NPI |
| Missouri | MEDICAID | 866202708 | EXISTING NPI |
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