# PERRY COUNTY COUNSELING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DEER RUN FAMILY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417010760
- **Authorized official:** JOHN R VENSKUS (ADMINISTRATOR)
- **Authorized official phone:** (618) 542-4357

## Contact information

- **Practice address:** 1016 S MADISON ST, SUITE A, DU QUOIN, IL 62832-2442
- **Practice address phone:** (618) 542-4357
- **Practice address fax:** (618) 542-3442
- **Mailing address:** 1016 S MADISON ST, SUITE A, DU QUOIN, IL 62832-2442
- **Mailing address phone:** (618) 542-4357
- **Mailing address fax:** (618) 542-3442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 06/05/2008