Robert J. Criss Reclamation Center

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

A-2843-0001-A Issued in IL

Legal business name

ROBERT J. CRISS RECLAMATION CENTER

Doing business as

City Of Refuge Community Development Corporation

Practice address

2232 SW Adams St
Peoria, IL 61602-1804

Phone

(309) 637-0782

Fax

(309) 676-4680

NPI assigned

Feb 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Criss

Title

President & Ceo

Phone

(309) 676-5645

Specialties & licenses 1

Addresses

Other names 1

• City Of Refuge Community Development Corporation Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1538308747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021804",
            "telephone_number": "309-637-0782",
            "fax_number": "309-676-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021804",
            "telephone_number": "309-637-0782",
            "fax_number": "309-676-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. CRISS RECLAMATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "CRISS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "309-676-5645"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "IL",
            "license": "A-2843-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Of Refuge Community Development Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Joseph Rizzuto III, M.D.
• Jason Roach, PA-C
• Steven Roat
• Rick L Robbins
• Samantha Robbins, APN
• Robert M Quilleash OD PC
• Robert R Zinser DC & Assoc PC
• Aleetra Roberts, MD
• Brad Roberts, DO
• Dawn C Roberts, PHD

• Methadone Clinic in Peoria, IL
• Providers in Peoria, IL by specialty
• Methadone Clinic in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.