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Organization

QC DUI SERVICES

Active
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Organization

QC DUI SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DWAYNE HODGES CADC (COUNSELOR/OWNER)
(309) 553-3070
Entity
Organization

Contact information

Practice address
2100 18TH AVE STE 6, ROCK ISLAND, IL 61201-3611
(563) 200-2837
(309) 553-3070
Mailing address
2100 18TH AVE STE 6, ROCK ISLAND, IL 61201-3611
(563) 200-2837
(309) 553-3070

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/07/2022
Last updated
04/07/2022
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