Park Place Center

NPI #1346451853 in Jacksonville, Illinois

Provider Information

NPI Number
1346451853
Entity Type
Organization
Organization Name
Park Place Center
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 25, 2007
Last Updated
Oct 5, 2012

Practice Location

Address
201 E MORGAN ST
ZIP Code
62650-2508
Phone
(217) 245-1655

Authorized Official

Name
MR. ED J SCOTT, L.C.S.W.
Title
DIRECTOR
Phone
(217) 245-1655

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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