Organization
ALCOHOLIC REHABILITATION COMMUNITY HOME
Active
Organization
ALCOHOLIC REHABILITATION COMMUNITY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY GREEN CADC (EXECUTIVE DIRECTOR)
(618) 877-4987
Entity
Organization
Contact information
Practice address
1313 21ST ST, GRANITE CITY, IL 62040-4756
(618) 877-4987
(618) 877-4930
Mailing address
1313 21ST ST, GRANITE CITY, IL 62040-4756
(618) 877-4987
(618) 877-4930
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A06870001A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A06870001A
DHS - OASA
IL
Enumeration date
04/16/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up