Organization
COUNTY OF JASPER
Active
Parent organization
COUNTY OF JASPER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF JASPER
Authorized official
MS. DEBORAH K CLARK BS (ADMINISTRATOR)
(618) 783-4154
Entity
Organization
Contact information
Practice address
106 EAST EDWARDS, NEWTON, IL 62448-1736
(618) 783-4154
(618) 783-2339
Mailing address
106 EAST EDWARDS, NEWTON, IL 62448-1736
(618) 783-4154
(618) 783-2339
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
04082
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
03/03/2022
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