Intensive Out-Patient Care
NPI #1255715280 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1255715280
- Entity Type
- Organization
- Organization Name
- Intensive Out-Patient Care
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 20, 2015
- Last Updated
- Jul 20, 2015
Practice Location
- Address
- 2 CLUB CENTRE CT
- Address 2
- SUITE 1
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3503
- Phone
- (618) 656-7064
Authorized Official
- Name
- MS. JENNIFER MARY MANNING, LCSW
- Title
- DIRECTOR
- Phone
- (618) 656-7064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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