Organization
HUMAN SUPPORT SERVICES
Active
Parent organization
HUMAN SUPPORT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMAN SUPPORT SERVICES
Authorized official
MELISSA JONES (DIRECTOR OF BUSINESS OPERATIONS/QUA)
(618) 939-4444
Entity
Organization
Contact information
Practice address
228 BRADFORD LN APT 1-10, WATERLOO, IL 62298-3270
(618) 939-4444
(618) 939-4181
Mailing address
PO BOX 146, WATERLOO, IL 62298-0146
(618) 939-4444
(618) 939-4181
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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