Organization · Type 2 NPI

Locust Street Resource Center - Jacksonville

Substance Use Disorder Rehabilitation Clinic/Center · Jacksonville, IL

NPI number 1316638687 Active

Practice location

409 Hardin Ave Ste 202
Jacksonville, IL 62650-2553

Fax (217) 854-3778

Mailing address

320 S Locust St
Carlinville, IL 62626-1648

Other practice locations

  • 60 E Central Park Plz, Jacksonville, IL 62650-2071 · (217) 854-3166

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1316638687

Locust Street Resource Center - Jacksonville's National Provider Identifier is 1316638687, issued on May 17, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Jacksonville, IL. The record was last updated on Jun 30, 2025.