Organization
HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN BURNS (EXECUTIVE DIRECTOR)
(217) 465-4118
Entity
Organization
Contact information
Practice address
406 N 2ND ST, MARSHALL, IL 62441-1075
(217) 465-4118
(217) 463-1899
Mailing address
PO BOX 1118, 118 EAST COURT STREET, PARIS, IL 61944-5118
(217) 465-4118
(217) 463-1899
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A02360001A
IL DEPARTMENT OF HUMAN SERVICES
IL
Enumeration date
05/28/2008
Last updated
09/17/2021
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