Locust Street Resource Center - Jacksonville
NPI #1316638687 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1316638687
- Entity Type
- Organization
- Organization Name
- Locust Street Resource Center - Jacksonville
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LOCUST STREET RESOURCE CENTER
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- May 17, 2023
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 409 HARDIN AVE STE 202
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-2553
- Phone
- (217) 854-3166
Authorized Official
- Name
- ELIZABETH SCHERER
- Title
- BILLING/CREDENTIALING
- Phone
- (217) 854-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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