Organization · Type 2 NPI

Child and Adolescent Neuropsychology Services of Southern Illinois, PL

Adolescent and Children Mental Health Clinic/Center · Carbondale, IL

NPI number 1255961348 Active

Practice location

285 Lake Indian Hills Dr
Carbondale, IL 62902-6184

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center 261QD1600XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1255961348

Child and Adolescent Neuropsychology Services of Southern Illinois, PL's National Provider Identifier is 1255961348, issued on Jan 17, 2020. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Carbondale, IL. The record was last updated on Jan 17, 2020.