| Tap Resources Inc. | |
|
2390 W Nebraska Ave Peoria IL 61604-3111 | |
| (309) 676-8762 | |
| (309) 676-8782 |
| Full Name | Tap Resources Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2390 W Nebraska Ave, Peoria, Illinois |
| Authorized Official Name and Position | Martha J Allsup (DIRECTOR - CLINICAL SERVICES) |
| Authorized Official Contact | 3096768762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tap Resources Inc. 2390 W Nebraska Ave Peoria IL 61604-3111 Ph: (309) 676-8762 | Tap Resources Inc. 2390 W Nebraska Ave Peoria IL 61604-3111 Ph: (309) 676-8762 |
| NPI Number | 1194977264 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194977264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A13320001A (Illinois) | Primary |
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