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Illinois Medicaid- Substance Abuse Kewanee
Substance Use Disorder Rehabilitation Clinic/Center in Kewanee, Illinois
NPI 1386011161

Illinois Medicaid- Substance Abuse Kewanee is a Substance Use Disorder Rehabilitation Clinic/Center based in Kewanee, IL and is specialized in Rehabilitation, Substance Use Disorder. Illinois Medicaid- Substance Abuse Kewanee practices in Kewanee, IL. The NPI Number for Illinois Medicaid- Substance Abuse Kewanee is 1386011161 and holds a License No. A-0118-0003-A (Illinois).

The current practice location address for Illinois Medicaid- Substance Abuse Kewanee is 137 E College St, Kewanee, IL and can be reached out via phone at 309-852-4331.

Location: 137 E College St, Kewanee, IL, 61443-3703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386011161
Provider Name
Illinois Medicaid- Substance Abuse Kewanee
Credential
Provider Entity Type
Organization
Address
137 E College St, Kewanee, IL, 61443-3703
Phone Number
309-852-4331
Fax Number
Provider Enumeration Date
08/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
137 E College St
City
Kewanee
State
Illinois
Zip
61443-3703
Phone Number
309-852-4331
Fax Number
person
Provider Business Mailing Address Details
Address
137 E College St
City
Kewanee
State
Illinois
Zip
61443-3703
Phone Number
309-852-4331
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
(Illinois)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
(Illinois)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
(Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
A-0118-0003-A (Illinois)
Definition
Definition to come...
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