Human Service Center

NPI #1194937219 in Sparta, Illinois

Provider Information

NPI Number: 1194937219
Entity Type: Organization
Organization Name: Human Service Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 3, 2007
Last Updated: Jan 8, 2013

Practice Location

Address: 101 MELMAR CT
City: Sparta
State: Illinois
ZIP Code: 62286-1183
Phone: (618) 282-6233

Authorized Official

Name: AMY BAUER
Title: MIS COORDINATOR
Phone: (618) 282-6233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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