OrganizationActive
Human Service Center
NPI 1770960684 · Substance Abuse Rehabilitation Facility · Peoria, IL
Provider details
- NPI number
- 1770960684
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Kennedy, President/Ceo(309) 671-8005
- License
- A-0324-0001-A (IL)
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
130 N Richard Pryor Pl
Peoria, IL 61605-2484
Phone: (309) 671-8005
Street-level locationGet directions
Mailing address
Po Box 1346
Peoria, IL 61654-1346
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2017-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.