Organization
COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH J HARPER LCSW, MBA, CADC (EXECUTIVE DIRECTOR)
(618) 482-7330
Entity
Organization
Contact information
Practice address
1609 MASCOUTAH AVE, BELLEVILLE, IL 62220-3634
(618) 482-7330
(618) 274-6437
Mailing address
505 S 8TH ST, EAST SAINT LOUIS, IL 62201-2919
(618) 482-7626
(618) 274-6437
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04037
—
IL
Enumeration date
02/23/2021
Last updated
07/12/2023
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