Shawnee Health Service and Development Corp

NPI #1306497052 in Marion, Illinois

Provider Information

NPI Number
1306497052
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
1506 SIOUX DR
City
Marion
ZIP Code
62959-5209
Phone
(618) 519-9200

Authorized Official

Name
PATSY R JENSEN
Title
CEO
Phone
(618) 956-9508

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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