Organization · Type 2 NPI

Shawnee Health Service and Development Corp

Methadone Clinic · Carbondale, IL

NPI number 1902447196 Active

Practice location

101 S Wall St
Carbondale, IL 62901-3021

Call (618) 519-9200 Map

Fax (618) 519-9404

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.

22 other providers at this address

Other methadone clinic providers in Carbondale

See all in Carbondale →

About NPI 1902447196

Shawnee Health Service and Development Corp's National Provider Identifier is 1902447196, issued on Sep 30, 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 30, 2019.