Organization · Type 2 NPI

Southern Il Regional Social Services

Community/Behavioral Health Agency · Carbondale, IL

NPI number 1083851182 Active

Practice location

602 E College St
Carbondale, IL 62901-3309

Call (618) 457-6703 Map

Fax (618) 457-8377

Mailing address

604 E College St
Carbondale, IL 62901-3309

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	A-0243-0001-A (IL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

Another provider at this address

Centerstone of Illinois IncCommunity/Behavioral Health Agency Carbondale, IL NPI 1154682755

Other community/behavioral health agency providers in Carbondale

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NPI record

NPI: 1083851182
Entity type: Organization (Type 2)
Issued: Jan 12, 2009
Last updated: Mar 9, 2011
Status: Active
Subpart: Yes of Southern Il Regional Social Services

Other names

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Southern Illinois Regional Social Services, Inc. · other name

Authorized official

Ms. Karen S Freitag
Executive Director
(618) 457-6703

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083851182

Southern Il Regional Social Services's National Provider Identifier is 1083851182, issued on Jan 12, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Carbondale, IL. The record was last updated on Mar 9, 2011.