Organization
TRUE COMMUNITY SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION JEANA DOUGLAS (OWNER OF CILA)
(618) 741-6823
Entity
Organization
Contact information
Practice address
7008 MILLBROOK LN, O FALLON, IL 62269-6966
(618) 741-6823
Mailing address
7008 MILLBROOK LN, O FALLON, IL 62269-6966
(618) 741-6823
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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