Organization
HUMAN SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BAUER (MIS COORDINATOR)
(618) 282-6233
Entity
Organization
Contact information
Practice address
207 N HASLE ST, SPARTA, IL 62286-1541
(618) 443-6044
(618) 443-6186
Mailing address
10257 STATE ROUTE 3, RED BUD, IL 62278-4418
(618) 282-6233
(618) 282-6949
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
04/20/2008
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