OrganizationActive
Black Alcohol/Drug Service Information Center
NPI 1750682043 · Substance Use Disorder Rehabilitation Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1750682043
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nina Miller, Program Director(314) 621-9009
- License
- 8043 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3026 Locust St
Saint Louis, MO 63103-1329
Phone: (314) 621-9009
Fax: (314) 621-1071
Street-level locationGet directions
Mailing address
3026 Locust St
Saint Louis, MO 63103-1329
Registry dates
- Enumerated
- 2010-11-03
- Last updated
- 2010-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.