Organization · Type 2 NPI

Human Support Services

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

NPI number 1881434256 Active

Practice location

230 Bradford Ln Apt 1-8
Waterloo, IL 62298-3228

Call (618) 939-4444 Map

Fax (618) 939-4181

Mailing address

PO Box 146
Waterloo, IL 62298-0146

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1881434256

Human Support Services's National Provider Identifier is 1881434256, issued on May 31, 2024. 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 Jun 11, 2024.