Organization
ILLINOIS BAPTIST CHILDREN'S HOME AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC DOUGLAS DEVORE (EXECUTIVE DIRECTOR)
(618) 382-4164
Entity
Organization
Contact information
Practice address
949 COUNTY ROAD 1300 N, CARMI, IL 62821-5010
(618) 328-4164
(618) 382-3239
Mailing address
949 COUNTY ROAD 1300 N, CARMI, IL 62821-5010
(618) 328-4164
(618) 382-3239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
401813
IL
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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