Organization
RASSIK COMPLETE RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA CHANDRA (VICE PRESIDENT)
(618) 303-5360
Entity
Organization
Contact information
Practice address
1155 CEDAR CT, CARBONDALE, IL 62901-5333
(618) 490-1045
(618) 319-1279
Mailing address
1155 CEDAR CT, CARBONDALE, IL 62901-5333
(618) 490-1045
(618) 319-1279
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/28/2022
Last updated
08/02/2024
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