Human Service Center | |
104 Northtown Rd Sparta IL 62286-1081 | |
(618) 282-6233 | |
(618) 282-6949 |
Full Name | Human Service Center |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 104 Northtown Rd, Sparta, Illinois |
Authorized Official Name and Position | Amy Bauer (MIS COORDINATOR) |
Authorized Official Contact | 6182826233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Human Service Center 10257 State Route 3 Red Bud IL 62278-4418 Ph: (618) 443-3045 | Human Service Center 104 Northtown Rd Sparta IL 62286-1081 Ph: (618) 282-6233 |
NPI Number | 1851671556 |
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Provider Enumeration Date | 08/25/2011 |
Last Update Date | 08/25/2011 |
Identifier | Type | State | Issuer |
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1851671556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Comwell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Northtown Drive, Sparta, IL 62286 Phone: 618-443-3045 | |
Ashley Doerge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11233 State Route 13, Sparta, IL 62286 Phone: 618-598-6040 Fax: 618-615-4151 | |
Christian Social Services Of Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 N Market St Ste D, Sparta, IL 62286 Phone: 618-708-3490 |