Illinois Medicaid- Substance Abuse Kewanee
NPI #1386011161 in Kewanee, Illinois
Provider Information
- NPI Number
- 1386011161
- Entity Type
- Organization
- Organization Name
- Illinois Medicaid- Substance Abuse Kewanee
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BRIDGEWAY INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Aug 27, 2015
- Last Updated
- Aug 19, 2019
Practice Location
Authorized Official
- Name
- MR. BILL A NELSON, LCPC
- Title
- CEO
- Phone
- (309) 344-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry |
| Clinic/Center - Methadone — Methadone |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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