Alcoholic Rehabilitation Community Home
NPI #1891910709 in Granite City, Illinois
Provider Information
- NPI Number
- 1891910709
- Entity Type
- Organization
- Organization Name
- Alcoholic Rehabilitation Community Home
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1313 21ST ST
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4756
- Phone
- (618) 877-4987
Authorized Official
- Name
- MR. CARY GREEN, CADC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 877-4987
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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