Organization · Type 2 NPI
Intensive Out-Patient Care
Community/Behavioral Health Agency · Edwardsville, IL
Practice location
2 Club Centre Ct, Suite 1
Edwardsville, IL 62025-3503
Fax (618) 656-9084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 371259842 (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…
2 other providers at this address
Other community/behavioral health agency providers in Edwardsville
About NPI 1255715280
Intensive Out-Patient Care's National Provider Identifier is 1255715280, issued on Jul 20, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 20, 2015.