OrganizationActive
Black Alcohol Drug Service Information Center
NPI 1346372380 · Substance Abuse Rehabilitation Facility · Saint Louis, MO
Provider details
- NPI number
- 1346372380
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Oval Miller, Executive Director(314) 621-9009
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2600 Washington Ave
Saint Louis, MO 63103-1420
Phone: (314) 621-9009
Fax: (314) 621-1071
Approximate (ZIP-level) locationGet directions
Mailing address
2600 Washington Ave
Saint Louis, MO 63103-1420
Other names (DBA / former)
- Other name
- B.a.s.i.c.
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.