Organization
TAP RESOURCES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA J ALLSUP M.A., CADC (DIRECTOR - CLINICAL SERVICES)
(309) 676-8762
Entity
Organization
Contact information
Practice address
2390 W NEBRASKA AVE, PEORIA, IL 61604-3111
(309) 676-8762
(309) 676-8782
Mailing address
2390 W NEBRASKA AVE, PEORIA, IL 61604-3111
(309) 676-8762
(309) 676-8782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A13320001A
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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