Organization
SOUTHERN IL REGIONAL SOCIAL SERVICES
Active
Other names
Southern Illinois Regional Social Services, inc.
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA JUNE HAYES (FINANCE 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
920 E WALNUT ST, APT 2, CARBONDALE, IL 62901-3135
(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
Enumeration date
03/28/2012
Last updated
03/28/2012
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