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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