Shawnee Health Service and Development Corp
NPI #1235780982 in Carterville, Illinois
Provider Information
- NPI Number
- 1235780982
- Entity Type
- Organization
- Organization Name
- Shawnee Health Service and Development Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Sep 24, 2019
- Last Updated
- Sep 24, 2019
Practice Location
- Address
- 1006 S DIVISION ST
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-1539
- Phone
- (618) 519-9200
Authorized Official
- Name
- PATSY R JENSEN
- Title
- CEO
- Phone
- (618) 956-9508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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