Illinois Medicaid-Substance Abuse Monmouth
Illinois Medicaid-Substance Abuse Monmouth is an Addiction (Substance Use Disorder) Counselor in Monmouth, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
- Specialties on file
- 5
Practice location Address checks out
301 Industrial Park RdMonmouth, IL 61462-9794
Phone: (309) 734-9461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X (IL) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence A-0118-0011-A (IL) |
| Psychiatry Physician | Taxonomy 2084P0800X (IL) |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X (IL) |
| Methadone Clinic | Taxonomy 261QM2800X (IL) |
Record details
| NPI number | 1427425248 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Bridgeway Inc |
| Authorized official | Bill Nelson — Ceo · (309) 344-4200 |
| NPI enumerated | August 27, 2015 |
| Last updated in NPPES | August 19, 2019 |
| Mailing address | 301 Industrial Park Rd, Monmouth, IL 61462-9794 |
Other providers in Monmouth
-
Jennifer Lee Ferguson, CADC, LSW
1122 S 4th St, Monmouth, IL 61462-2734 · (309) 734-2813
-
Pamela Sue Marston, LPNCADCDUIQHEC
219 E Euclid Ave, Monmouth, IL 61462-1247 · (309) 734-9461
-
Pawprint Pathway Counseling, PLLC
1122 S 4th St, Monmouth, IL 61462-2734 · (309) 734-2813