Organization
SHELBY COUNTY COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED LACHETA (CLINICAL DIRECTOR)
(217) 774-2113
Entity
Organization
Contact information
Practice address
477 S HEINLEIN DR, SHELBYVILLE, IL 62565-9596
(217) 774-2113
(217) 774-2256
Mailing address
1810 W SOUTH 3RD ST, SHELBYVILLE, IL 62565-9595
(217) 774-2113
(217) 774-2256
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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