| Alcohol & Drug Education Clinic, Inc. | |
|
2052 3rd Ave Rock Island IL 61201-8803 | |
| (309) 794-1097 | |
| Not Available |
| Full Name | Alcohol & Drug Education Clinic, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2052 3rd Ave, Rock Island, Illinois |
| Authorized Official Name and Position | John Michael Walsh (PRESIDENT) |
| Authorized Official Contact | 3097941097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcohol & Drug Education Clinic, Inc. 2052 3rd Ave Rock Island IL 61201-8803 Ph: (309) 794-1097 | Alcohol & Drug Education Clinic, Inc. 2052 3rd Ave Rock Island IL 61201-8803 Ph: (309) 794-1097 |
| NPI Number | 1326456914 |
|---|---|
| Provider Enumeration Date | 07/27/2014 |
| Last Update Date | 07/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326456914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A330800003A (Illinois) | Primary |
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