Jefferson County Comprehensive
NPI #1649404708 in Mt Vernon, Illinois
Provider Information
- NPI Number
- 1649404708
- Entity Type
- Organization
- Organization Name
- Jefferson County Comprehensive
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 5, 2009
- Last Updated
- Aug 17, 2018
Practice Location
Authorized Official
- Name
- MR. DANIEL P BOEHMER, MA, LCPC, QMHP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 242-1994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Substance Abuse Rehabilitation Facility |
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