Organization
HOYLETON YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER L. COX (PRESIDENT / CEO)
(618) 688-4727
Entity
Organization
Contact information
Practice address
1311 S MARION AVE, SALEM, IL 62881-4118
(618) 740-1377
(618) 740-1386
Mailing address
8 EXECUTIVE DR STE 200, FAIRVIEW HEIGHTS, IL 62208-1350
(618) 688-4727
(618) 726-2277
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371222958015
—
IL
Enumeration date
09/18/2018
Last updated
09/20/2021
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