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Organization

GUIDED PATH SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEWEL SCROGGINS (MANAGER)
(618) 578-3052
Entity
Organization

Contact information

Practice address
805 SAINT THOMAS LN, CAHOKIA, IL 62206-1810
(618) 578-3052
Mailing address
805 SAINT THOMAS LN, CAHOKIA, IL 62206-1810
(618) 578-3052

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
10/08/2025
Last updated
10/08/2025
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