Black Alcohol Drug Service Information Center in Saint Louis - Substance Abuse Rehabilitation Facility
Black Alcohol Drug Service Information Center - NPI 1346372380
Black Alcohol Drug Service Information Center is a Substance Abuse Rehabilitation Facility in Saint Louis, Missouri. Black Alcohol Drug Service Information Center practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Black Alcohol Drug Service Information Center is 1346372380. The last update date is 2020-08-22.
Black Alcohol Drug Service Information Center's current location address is 2600 Washington Ave, Saint Louis, Missouri. You can contact this provider via phone number 3146219009 and fax number 3146211071. The mailing address for Black Alcohol Drug Service Information Center is 2600 Washington Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Black Alcohol Drug Service Information Center |
|---|---|
| Address | 2600 Washington Ave, Saint Louis, Missouri |
| Phone Number | 3146219009 |
| Fax Number | 3146211071 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Miller Laval Oval |
| Telephone Number | 3146219009 |
NPI Number Detail
| NPI Number | 1346372380 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2600 Washington Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631031420 |
| Phone Number | 3146219009 |
| Fax Number | 3146211071 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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What is the unique 10-digit identifier code issued to Black Alcohol Drug Service Information Center by the Centers for Medicare & Medicaid Services?
The Black Alcohol Drug Service Information Center has been assigned the NPI (National Provider Identifier) 1346372380 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Black Alcohol Drug Service Information Center's physical address?
The Black Alcohol Drug Service Information Center is physically located at 2600 Washington Ave, in the city of Saint Louis, MO, with the postal code 631031420.
What is Black Alcohol Drug Service Information Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Black Alcohol Drug Service Information Center's area of specialization is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this field of practice is 324500000X.
On what date did the Black Alcohol Drug Service Information Center receive the assignment of its 1346372380 from the Centers for Medicare & Medicaid Services?
The Black Alcohol Drug Service Information Center was issued its 1346372380 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the Black Alcohol Drug Service Information Center's information last updated?
The Black Alcohol Drug Service Information Center's information was last updated on 2020-08-22.