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
MR. ROBERT COLE (EXECUTIVE DIRECTOR)
(618) 939-4444
Entity
Organization
Contact information
Practice address
224 N MAIN ST REAR, WATERLOO, IL 62298-1264
(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
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06715560
BCBS
IL
01
—
10B862
BCBS
MO
Enumeration date
09/26/2013
Last updated
09/26/2013
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