Human Support Services

NPI #1245072172 in Waterloo, Illinois

Provider Information

NPI Number: 1245072172
Entity Type: Organization
Organization Name: Human Support Services
Subpart: Yes (part of a larger organization)
Parent Organization: HUMAN SUPPORT SERVICES
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 11, 2024
Last Updated: Jun 11, 2024

Practice Location

Address: 228 BRADFORD LN APT 1-10
City: Waterloo
State: Illinois
ZIP Code: 62298-3270
Phone: (618) 939-4444

Authorized Official

Name: MELISSA JONES
Title: DIRECTOR OF BUSINESS OPERATIONS/QUA
Phone: (618) 939-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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