Illinois Alcohol and Drug Evaluation Service, INC

NPI #1386854750 in Peoria, Illinois

Provider Information

NPI Number: 1386854750
Entity Type: Organization
Organization Name: Illinois Alcohol and Drug Evaluation Service, INC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: May 23, 2007
Last Updated: May 14, 2008

Practice Location

Address: 7501 N UNIVERSITY ST
Address 2: SUITE 201
City: Peoria
State: Illinois
ZIP Code: 61614-1222
Phone: (309) 692-9236

Authorized Official

Name: MS. ANN THERESE BAHL
Title: CO-OWNER VICE PRESIDENT
Phone: (309) 692-9236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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