CENTER FOR ALCHOL & DRUG SERVICES, INC. (NPI# 1245236942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245236942 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ALCHOL & DRUG SERVICES, INC. |
| Practice Address |
1523 S Fairmount St Davenport IA 52802 |
| Mailing Address |
1523 S Fairmount St Davenport IA 52802-3644 |
| Practice Telephone | 5633222667 |
| Practice Fax Number | 5633223671 |
| Mailing Telephone | 5633222667 |
| Mailing Fax Number | 5633223671 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2018-05-30 |
| Authorized Official Name | JOSEPH COWLEY (PRESIDENT) |
| Authorized Official Telephone | 5633264116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
A-0438-0002-A | IL | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0438-0002-A | IL | Ambulatory Health Care Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | IL | Residential Treatment Facilities | |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | IA | Residential Treatment Facilities |
| Street Address |
1523 S FAIRMOUNT ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394003 | Traci Anne Swift | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2020-10-19 |
| 1831747922 | Heather Snyder | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2019-08-31 |
| 1811481450 | Robert Young Center for Community Mental Health | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-06-18 |
| 1235637869 | Mica Rae Frandsen | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-29 |
| 1083112098 | Annalyse Gratzek | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-24 |
| 1386142529 | Daniella T'iara Harris Campbell | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-23 |
| 1902314388 | Krystle Krauss | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-19 |
| 1699283036 | Jennifer Lynn Hunter | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-19 |
| 1215445689 | Jesse Hamerlinck | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-18 |
| 1467960906 | Vickie Lynne Streicher | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042465 | William Albert Childers Jr. | Technician | 1455 W. 8th St., Davenport, IA 52802 | 2020-01-13 |
| 1790293181 | Amy Ruth Allison | Counselor | 1523 S. Fairmount St., Davenport, IA 52802 | 2018-01-19 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1205063096 | Ryan Bobst | Student in an Organized Health Care Education/Training Program | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-18 |
| 1902033673 | Angela C Wells | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1891922563 | Christy A Carter | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1548892359 | Annemarie Irene Chambliss | Counselor | 1202 W 3rd St, Davenport, IA 52802-1344 | 2020-02-10 |
| 1457909103 | Margaret Olin Meloy | Social Worker | 1202 W 3rd St, Davenport, IA 52802-1344 | 2019-08-27 |
| 1629544929 | Rebecca Schroeder | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-15 |
| 1225503832 | Nora Elizabeth Wenzel | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-10 |
| Find all providers in zip 52802 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032443 | Morgan P Foley | Substance Abuse Rehabilitation Facility | 2030 Keokuk St, Iowa City, IA 52240-4456 | 2018-02-02 |
| 1629525308 | St. Gregory Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1985 Ne 51st Pl, Des Moines, IA 50313-2517 | 2016-09-09 |
| 1477974244 | House of Mercy | Substance Abuse Rehabilitation Facility | 511 E 21st St S, Newton, IA 50208-5104 | 2013-12-23 |
| 1750511143 | St Gregory Centers, Inc | Substance Abuse Rehabilitation Facility | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2009-07-20 |
| 1568609360 | The Abbey | Substance Abuse Rehabilitation Facility | 1401 Central Ave, Bettendorf, IA 52722-6034 | 2009-01-15 |
| 1386810646 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 928 Main St, Keokuk, IA 52632-4655 | 2008-05-06 |
| 1043486400 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 304 Highway 61 N, Wapello, IA 52653-1243 | 2008-05-06 |
| 1174723118 | Fort Dodge Ywca Women's Halfway House | Substance Abuse Rehabilitation Facility | 826 1st Ave N, Fort Dodge, IA 50501-3906 | 2007-07-18 |
| 1871641159 | Clearview Recovery, Inc. | Substance Abuse Rehabilitation Facility | 501 N Sherman St, Prairie City, IA 50228-8666 | 2007-01-05 |
| 1801952205 | Resolutions Substance Abuse Services | Substance Abuse Rehabilitation Facility | 220 Lafayette St, Iowa City, IA 52240-1746 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTER FOR ALCHOL & DRUG SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.