Organization
SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES
Active
Parent organization
SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES
Other names
Jackson County Community Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES
Authorized official
MS. KAREN S FREITAG (EXECUTIVE DIRECTOR)
(618) 457-6703
Entity
Organization
Contact information
Practice address
604 E COLLEGE ST, CARBONDALE, IL 62901-3309
(618) 457-6703
(618) 457-8377
Mailing address
604 EAST COLLEGE ST, CARBONDALE, IL 62901-3309
(618) 457-6703
(618) 457-8377
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-0243-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002
—
IL
Enumeration date
01/18/2007
Last updated
09/15/2010
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