Presence Behavioral Health in Broadview - Rehabilitation, Substance Use Disorder
Presence Behavioral Health - NPI 1356597314
Presence Behavioral Health is a Rehabilitation, Substance Use Disorder in Broadview, Illinois. Presence Behavioral Health practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Presence Behavioral Health is 1356597314. The last update date is 2017-05-09.
Presence Behavioral Health's current location address is 1820 S 25th Ave, Broadview, Illinois. You can contact this provider via phone number 7083383806 and fax number 7086811289. The mailing address for Presence Behavioral Health is 1820 S 25th Ave, Broadview, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Presence Behavioral Health |
---|---|
Address | 1820 S 25th Ave, Broadview, Illinois |
Phone Number | 7083383806 |
Fax Number | 7086811289 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER, G |
---|---|
Authorized Official Name | Kaminski Kristin |
Telephone Number | 7083383806 |
NPI Number Detail
NPI Number | 1356597314 |
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Provider Enumeration Date | 2008-08-11 |
Last Updated Date | 2017-05-09 |
Provider Mailing Address Detail
Address | 1820 S 25th Ave |
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City | Broadview |
State | Illinois (IL) |
Post Code | 601552864 |
Phone Number | 7083383806 |
Fax Number | 7086811289 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
---|---|
Taxonomy | 261Qr0405X |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1616027 | IL | BCBS |
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What is the unique 10-digit identifier code issued to Presence Behavioral Health by the Centers for Medicare & Medicaid Services?
The Presence Behavioral Health has been assigned the NPI (National Provider Identifier) 1356597314 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Presence Behavioral Health?
The Presence Behavioral Health is physically situated at 1820 S 25Th Ave, in the city of Broadview, state of IL, with the postal code 601552864.
What is Presence Behavioral Health's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Presence Behavioral Health's specialized field of practice is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0405X.
On what date did Presence Behavioral Health receive its 1356597314 assignment from the Centers for Medicare & Medicaid Services?
The Presence Behavioral Health was assigned its 1356597314 on 2008-08-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Presence Behavioral Health most recently updated or revised?
The information pertaining to Presence Behavioral Health, including its address, specialty, and other relevant details, was last updated or revised on 2017-05-09.
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