Southern Illinois Treatment Center, LLC
NPI #1841858404 in Wood River, Illinois
Provider Information
- NPI Number
- 1841858404
- Entity Type
- Organization
- Organization Name
- Southern Illinois Treatment Center, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- May 30, 2019
- Last Updated
- Jul 29, 2024
Practice Location
- Address
- 304 WESLEY DR STE 302306
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-2266
- Phone
- (618) 258-7592
Authorized Official
- Name
- BRUCE JARVIE
- Title
- VP, TREASURER
- Phone
- (214) 379-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Clinic/Center - Methadone — Methadone |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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