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Alcoholic Rehabilitation Community Home
Substance Abuse Rehabilitation Facility in Granite City, Illinois
NPI 1891910709

Alcoholic Rehabilitation Community Home is a Substance Abuse Rehabilitation Facility based in Granite City, IL. Alcoholic Rehabilitation Community Home practices in Granite City, IL. The NPI Number for Alcoholic Rehabilitation Community Home is 1891910709 and holds a License No. A06870001A (Illinois).

The current practice location address for Alcoholic Rehabilitation Community Home is 1313 21St St, Granite City, IL and can be reached out via phone at 618-877-4987 and via fax at 618-877-4930.

Location: 1313 21St St, Granite City, IL, 62040-4756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891910709
Provider Name
Alcoholic Rehabilitation Community Home
Credential
Provider Entity Type
Organization
Address
1313 21St St, Granite City, IL, 62040-4756
Phone Number
618-877-4987
Fax Number
618-877-4930
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
A06870001A 01 IL DHS - OASA
institution
Provider Business Practice Location Address Details
Address
1313 21St St
City
Granite City
State
Illinois
Zip
62040-4756
Phone Number
618-877-4987
Fax Number
618-877-4930
person
Provider Business Mailing Address Details
Address
1313 21St St
City
Granite City
State
Illinois
Zip
62040-4756
Phone Number
618-877-4987
Fax Number
618-877-4930
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
A06870001A (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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