Christian Social Services of Illinois

NPI #1912660390 in O Fallon, Illinois

Provider Information

NPI Number: 1912660390
Entity Type: Organization
Organization Name: Christian Social Services of Illinois
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 21, 2021
Last Updated: Oct 21, 2021

Practice Location

Address: 950 HARTMAN LN
City: O Fallon
State: Illinois
ZIP Code: 62269-7209
Phone: (618) 406-4355

Authorized Official

Name: MEGAN NICOLE KIRK
Title: DIRECTOR OF BEHAVIORAL HEALTH
Phone: (618) 213-8729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Foster Care Agency	253J00000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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