| Family Service Center Of Sangamon County | |
|
730 E. Vine St Springfield IL 62703 | |
| (217) 528-8406 | |
| (217) 528-1446 |
| Full Name | Family Service Center Of Sangamon County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 730 E. Vine St, Springfield, Illinois |
| Authorized Official Name and Position | Josephine E Rocco (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2175288406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Center Of Sangamon County 730 E. Vine St Springfield IL 62703 Ph: (217) 528-8406 | Family Service Center Of Sangamon County 730 E. Vine St Springfield IL 62703 Ph: (217) 528-8406 |
| NPI Number | 1497050652 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497050652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 006840-13 (Illinois) | Primary |
| 253J00000X | Foster Care Agency | 006840-13 (Illinois) | Secondary |
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