Organization
SPERO FAMILY SERVICES
Active
Parent organization
SPERO FAMILY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPERO FAMILY SERVICES
Authorized official
BLAKE EDWARD JONES DO (DIRECTOR OF QUALITY & IT)
(618) 242-1070
Entity
Organization
Contact information
Practice address
403 N 42ND ST STE C, MOUNT VERNON, IL 62864-2297
(618) 242-1070
Mailing address
2023 RICHVIEW RD, MOUNT VERNON, IL 62864-2884
(618) 242-1070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
021068-11
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000-IPI-029
—
IL
Enumeration date
11/03/2017
Last updated
11/03/2017
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