NPI:
1952761579
Provider Name:
TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Doing Business As: TASC, INC.
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 14D2015678
Address:
340 S FILLMORE ST
EDWARDSVILLE, IL
ZIP 62025
Phone:
(618) 656-7672
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TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES is a rehabilitation and substance use disorder clinic center in Edwardsville, IL. TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES NPI is 1952761579. The provider is registered as an organization entity type.
The provider Is Doing Business As Tasc, Inc..
The provider's business location address is:
340 S FILLMORE ST
EDWARDSVILLE, IL
ZIP 62025-115
Phone: (618) 656-7672
Fax: (618) 656-7938
The provider's authorized official is Roy Fesmire .
The authorized official title is Vice President And Cfo and has the following contact phone number (312) 787-0208.
The CLIA number assigned to this NPI record is 14D2015678 - other - community based org with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/24/2016 and was last updated on 11/28/2016.