Jefferson County Comprehensive

NPI #1972533990 in Mt Vernon, Illinois

Provider Information

NPI Number: 1972533990
Entity Type: Organization
Organization Name: Jefferson County Comprehensive
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 4, 2006
Last Updated: May 9, 2022

Practice Location

Address: 16342 N IL HWY 37
City: Mt Vernon
State: Illinois
ZIP Code: 62864
Phone: (618) 242-1510

Authorized Official

Name: MR. DAN BOEHMER, C.E.O.
Title: C.E.O.
Phone: (618) 242-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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