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Human Support Services
Mental Health Clinic/Center (Including Community Mental Health Center) in Waterloo, Illinois
NPI 1801447982

Human Support Services is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Waterloo, IL and is specialized in Mental Health (Including Community Mental Health Center). Human Support Services practices in Waterloo, IL. The NPI Number for Human Support Services is 1801447982 and holds a License No. (Illinois).

The current practice location address for Human Support Services is 228 Bradford Ln Ste 2, Waterloo, IL and can be reached out via phone at 618-939-4444.

Location: 228 Bradford Ln Ste 2, Waterloo, IL, 62298-1059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801447982
Provider Name
Human Support Services
Credential
Provider Entity Type
Organization
Address
228 Bradford Ln Ste 2, Waterloo, IL, 62298-1059
Phone Number
618-939-4444
Fax Number
Provider Enumeration Date
09/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IL
institution
Provider Business Practice Location Address Details
Address
228 Bradford Ln Ste 2
City
Waterloo
State
Illinois
Zip
62298-3270
Phone Number
618-939-4444
Fax Number
person
Provider Business Mailing Address Details
Address
228 Bradford Ln Ste 2
City
Waterloo
State
Illinois
Zip
62298-3270
Phone Number
618-939-4444
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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