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Human Service Center
Substance Abuse Rehabilitation Facility in Peoria, Illinois
NPI 1770960684

Human Service Center is a Substance Abuse Rehabilitation Facility based in Peoria, IL. Human Service Center practices in Peoria, IL. The NPI Number for Human Service Center is 1770960684 and holds a License No. A-0324-0001-A (Illinois).

The current practice location address for Human Service Center is 130 N Richard Pryor Pl, Peoria, IL and can be reached out via phone at 309-671-8005. You can also correspond with Human Service Center through the mailing address at PO BOX 1346, PEORIA, IL - 61654-1346 (mailing address contact number: 309-671-8005).

Location: 130 N Richard Pryor Pl, Peoria, IL, 61654-1346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770960684
Provider Name
Human Service Center
Credential
Provider Entity Type
Organization
Address
130 N Richard Pryor Pl, Peoria, IL, 61654-1346
Phone Number
309-671-8005
Fax Number
Provider Enumeration Date
04/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003240001 05 IL
institution
Provider Business Practice Location Address Details
Address
130 N Richard Pryor Pl
City
Peoria
State
Illinois
Zip
61605-2484
Phone Number
309-671-8005
Fax Number
person
Provider Business Mailing Address Details
Address
130 N Richard Pryor Pl
City
Peoria
State
Illinois
Zip
61605-2484
Phone Number
309-671-8005
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
003240001 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
A-0324-0001-A (Illinois)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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