BLACK ALCOHOL/DRUG SERVICE INFORMATION CENTER (NPI# 1750682043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750682043 |
| Entity Type | Organization |
| Organization Name | BLACK ALCOHOL/DRUG SERVICE INFORMATION CENTER |
| Practice Address |
3026 Locust St Saint Louis MO 63103-1329 |
| Practice Telephone | 3146219009 |
| Practice Fax Number | 3146211071 |
| Mailing Telephone | 3146219009 |
| Mailing Fax Number | 3146211071 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | MS. NINA CAROL MILLER (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3146219009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
8043 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | EXISTING NPI | 1346372380 | 01 |
| MO | 866202708 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235586561 | Black Alcohol/drug Service Information Center | Clinic/Center | 3026 Locust St, Saint Louis, MO 63103-1329 | 2016-05-17 |
| Street Address |
3026 LOCUST ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63103-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235586561 | Black Alcohol/drug Service Information Center | Clinic/Center | 3026 Locust St, Saint Louis, MO 63103-1329 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306355045 | Dimensions of Care | Home Health | 1911washington Ave, Saint Louis, MO 63103 | 2017-09-26 |
| 1467972752 | Rebecca Jones | Social Worker | 1430 Olive Street, 500, St. Louis, MO 63103 | 2017-06-27 |
| 1780124511 | Priority Consumer Directed Services LLC | Home Health | 1409 Washintong Ave, Suite 504, Saint Louis, MO 63103 | 2017-02-27 |
| 1437562766 | Lindsey's Stepping Stones LLC | In Home Supportive Care | 1409 Washibgton Ave Suite 208, Saint Louis, MO 63103 | 2014-06-04 |
| 1952711046 | Jonathan Burch | Specialist/Technologist | 3330 Laclede Avenue, Saint Louis University - Chaifetz Arena, Saint Louis, MO 63103 | 2014-04-29 |
| 1912329954 | Chanel Mitchell | Social Worker | 1430 Olive, Suite 500, Saint Louis, MO 63103 | 2014-01-10 |
| 1194067116 | Hassan R Jafri | Physical Therapist | 1722 Olive, Sutie 201, St. Louis, MO 63103 | 2013-03-18 |
| 1710240023 | Dorothy Harris | Licensed Practical Nurse | 615 North Grand, Saint Louis, MO 63103 | 2012-06-21 |
| 1932407335 | Terence Michael Crowley | Chiropractor | 3141 Locust St Ste 200, Saint Louis, MO 63103 | 2011-03-09 |
| 1104123470 | Thompson Home Health Team LLC | Chore Provider | 3101 Olive Street, St Louis, MO 63103 | 2011-02-22 |
| Find all providers in zip 63103 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487179057 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St Ste 300, Saint Louis, MO 63103-2303 | 2017-08-04 |
| 1700233145 | New Beginnings C-star | Clinic/Center | 1408 N Kingshighway Blvd Ste 4, Saint Louis, MO 63113-1426 | 2016-05-16 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1417123480 | Assisted Recovery Centers of America, LLC | Clinic/Center | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2008-04-30 |
| 1578737490 | Safety Council of Greater St. Louis | Clinic/Center | 2330 Hampton Ave, Saint Louis, MO 63139-2909 | 2008-04-22 |
| 1417080359 | Preferred Family Healthcare | Clinic/Center | 2949 S Brentwood Blvd, Saint Louis, MO 63144-2713 | 2007-03-13 |
| 1770628885 | Preferred Family Healthcare, Inc. | Clinic/Center | 7020 Chippewa St, Saint Louis, MO 63119-5602 | 2007-02-20 |
| 1104470939 | Haven Recovery Services | Clinic/Center | 1902 Arsenal St, Saint Louis, MO 63118-2503 | 2019-07-30 |
| 1467005744 | I-wave | Clinic/Center | 10995 Chase Park Ln Apt C, Saint Louis, MO 63141-5787 | 2019-07-16 |
| 1508393216 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St, Suite 300, Saint Louis, MO 63103-2303 | 2017-05-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63103 |
Please comment or provide details below to improve the information on BLACK ALCOHOL/DRUG SERVICE INFORMATION CENTER.
| 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.