Organization
COMWELL
Active
Other names
Human Service Center of S Metro E
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBER L BROWNE (DIRECTOR OF FINANCE)
(618) 282-6233
Entity
Organization
Contact information
Practice address
109 W MILL STREET, OKAWVILLE, IL 62271-4418
(618) 241-2091
(618) 241-2093
Mailing address
10257 STATE ROUTE 3, RED BUD, IL 62278-4418
(618) 282-6233
(618) 282-6220
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0280-0005-A
IL
Other
Enumeration date
03/28/2016
Last updated
02/04/2021
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