Organization · Type 2 NPI

Shawnee Health Service and Development Corp

Methadone Clinic · Carbondale, IL

NPI number 1629629357 Active

Practice location

400 S Lewis Ln
Carbondale, IL 62901-3547

Call (618) 519-9200 Map

Fax (618) 519-9961

Mailing address

PO Box 577, 109 California St
Carterville, IL 62918-0577

Specialties and licenses

TaxonomyCodeLicense
Methadone Clinic Primary 261QM2800XNone listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

15 other providers at this address

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About NPI 1629629357

Shawnee Health Service and Development Corp's National Provider Identifier is 1629629357, issued on Sep 24, 2019. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Carbondale, IL. The record was last updated on Sep 24, 2019.