Organization
BLACK ALCOHOL DRUG SERVICE INFORMATION CENTER
Active
Other names
B.A.S.I.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OVAL LAVAL MILLER SR. (EXECUTIVE DIRECTOR)
(314) 621-9009
Entity
Organization
Contact information
Practice address
2600 WASHINGTON AVE, SAINT LOUIS, MO 63103-1420
(314) 621-9009
(314) 621-1071
Mailing address
2600 WASHINGTON AVE, SAINT LOUIS, MO 63103-1420
(314) 621-9009
(314) 621-1071
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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