Organization
CHESTNUT HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON LEE ANDERSON BS, CADC (ADDICTIONS COUNSELOR)
(618) 877-4420
Entity
Organization
Contact information
Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
(618) 877-9250
Mailing address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
(618) 877-9250
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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