Organization
CENTER FOR ALCHOL & DRUG SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH COWLEY (PRESIDENT)
(563) 326-4116
Entity
Organization
Contact information
Practice address
1523 S FAIRMOUNT ST, DAVENPORT, IA 52802
(563) 322-2667
(563) 322-3671
Mailing address
1523 S FAIRMOUNT ST, DAVENPORT, IA 52802-3644
(563) 322-2667
(563) 322-3671
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
A-0438-0002-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0438-0002-A
IL
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
IA
324500000X
Substance Abuse Rehabilitation Facility
—
IL
Other
Enumeration date
06/27/2005
Last updated
05/30/2018
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