Tri-County Alcohol and Drug Services LLC

NPI #1356640346 in East Moline, Illinois

Provider Information

NPI Number: 1356640346
Entity Type: Organization
Organization Name: Tri-County Alcohol and Drug Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TRI-COUNTY ALCOHOL AND DRUG SERVICES LLC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 16, 2011
Last Updated: Mar 16, 2011

Practice Location

Address: 926 15TH AVE
City: East Moline
State: Illinois
ZIP Code: 61244-2138
Phone: (309) 752-9740

Authorized Official

Name: MR. JEFFREY A EDWARDS, MDIV, CADC
Title: MANAGER/COUNSELOR
Phone: (309) 752-9740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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