Organization · Type 2 NPI

Southern Illinois Regional Social Services

Community/Behavioral Health Agency · Carbondale, IL

NPI number 1265679369 Active

Practice location

608 W Main St
Carbondale, IL 62901-2604

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…

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NPI record

NPI: 1265679369
Entity type: Organization (Type 2)
Issued: Jan 12, 2009
Last updated: Oct 4, 2010
Status: Active
Subpart: Yes of Southern Illinois Regional Social Services

Other names

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Sirss · doing business as

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 1265679369

Southern Illinois Regional Social Services's National Provider Identifier is 1265679369, 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 Oct 4, 2010.