Organization · Type 2 NPI

Human Support Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Waterloo, IL

NPI number 1801447982 Active

Practice location

228 Bradford Ln Ste 2
Waterloo, IL 62298-3270

Mailing address

988 N Illinois Route 3
Waterloo, IL 62298-1059

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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About NPI 1801447982

Human Support Services's National Provider Identifier is 1801447982, issued on Sep 20, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Waterloo, IL. The record was last updated on Sep 20, 2019.