Jefferson County Comprehensive Svc

NPI #1881828788 in Mt Vernon, Illinois

Provider Information

NPI Number
1881828788
Entity Type
Organization
Organization Name
Jefferson County Comprehensive Svc
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
May 6, 2009
Last Updated
Jan 8, 2019

Practice Location

Address
16342 N IL HWY 37
ZIP Code
62864
Phone
(618) 242-1994

Authorized Official

Name
MR. DANIEL P BOEHMER, MA, LCPC, QMHP
Title
EXECUTIVE DIRECTOR
Phone
(618) 242-1994

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
Substance Abuse Rehabilitation Facility

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