Organization
LOCUST STREET RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SCHERER (BILLING/CREDENTIALING)
(217) 854-3166
Entity
Organization
Contact information
Practice address
320 S LOCUST ST, CARLINVILLE, IL 62626-1648
(217) 854-3166
(217) 854-3778
Mailing address
320 S LOCUST ST, CARLINVILLE, IL 62626-1648
(217) 854-3166
(217) 854-3778
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/24/2024
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