Organization
TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Active
Other names
TASC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY FESMIRE (VICE PRESIDENT AND CFO)
(312) 787-0208
Entity
Organization
Contact information
Practice address
401 W STATE ST, ROCKFORD, IL 61101-1248
(815) 965-1106
(815) 964-5784
Mailing address
700 S CLINTON ST, CHICAGO, IL 60607-4350
(312) 787-0208
(312) 787-9663
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
A-0637-0043-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0637-0043-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-0637-0043-A
—
IL
Enumeration date
02/01/2016
Last updated
11/28/2016
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