Psychological Services In The Quad Cities, Pc in Moline - Addiction (substance Use Disorder)
Psychological Services In The Quad Cities, Pc - NPI 1881604270
Psychological Services In The Quad Cities, Pc is a Addiction (substance Use Disorder) in Moline, Illinois. Psychological Services In The Quad Cities, Pc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Psychological Services In The Quad Cities, Pc is 1881604270. The last update date is 2012-06-07.
Psychological Services In The Quad Cities, Pc's current location address is 4324 7th St, Moline, Illinois. You can contact this provider via phone number 3097579000 and fax number 3097579057. The mailing address for Psychological Services In The Quad Cities, Pc is 4324 7th St, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychological Services In The Quad Cities, Pc |
|---|---|
| Address | 4324 7th St, Moline, Illinois |
| Phone Number | 3097579000 |
| Fax Number | 3097579057 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Brooke C John |
| Credentials | PH.D. |
| Telephone Number | 3097579000 |
NPI Number Detail
| NPI Number | 1881604270 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2012-06-07 |
Provider Mailing Address Detail
| Address | 4324 7th St |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612656867 |
| Phone Number | 3097579000 |
| Fax Number | 3097579057 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | A36090002A |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identifier code issued to Psychological Services In The Quad Cities, Pc by the Centers for Medicare & Medicaid Services?
The Psychological Services In The Quad Cities, Pc has been assigned the NPI (National Provider Identifier) 1881604270. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Psychological Services In The Quad Cities, Pc located?
The Psychological Services In The Quad Cities, Pc is located at 4324 7Th St, Moline, IL 612656867.
What is Psychological Services In The Quad Cities, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Psychological Services In The Quad Cities, Pc's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did Psychological Services In The Quad Cities, Pc receive its 1881604270 assignment from the Centers for Medicare & Medicaid Services?
The Psychological Services In The Quad Cities, Pc was assigned its 1881604270 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Psychological Services In The Quad Cities, Pc most recently updated or revised?
The information pertaining to Psychological Services In The Quad Cities, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-07.
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