Organization
ILLINOIS ALCOHOL AND DRUG EVALUATION SERVICE, INC
Active
Organization
ILLINOIS ALCOHOL AND DRUG EVALUATION SERVICE, INC
Active
Other names
IADES, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN THERESE BAHL (CO-OWNER VICE PRESIDENT)
(309) 692-9236
Entity
Organization
Contact information
Practice address
7501 N UNIVERSITY ST, SUITE 201, PEORIA, IL 61614-1222
(309) 692-9236
(309) 692-5262
Mailing address
7501 N UNIVERSITY ST, SUITE 201, PEORIA, IL 61614-1222
(309) 692-9236
(309) 692-5262
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
A50140001A
IL
Other
Enumeration date
05/23/2007
Last updated
05/14/2008
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