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Southern Illinois Treatment Center, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Wood River, Illinois
NPI 1841858404

Southern Illinois Treatment Center, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Lewisville, IL and is specialized in Rehabilitation, Substance Use Disorder. Southern Illinois Treatment Center, Llc practices in Wood River, IL. The NPI Number for Southern Illinois Treatment Center, Llc is 1841858404 and holds a License No. (Illinois).

The current practice location address for Southern Illinois Treatment Center, Llc is 304 Wesley Dr Ste 302306, Wood River, IL and can be reached out via phone at 618-258-7592.

Location: 304 Wesley Dr Ste 302306, Wood River, IL, 75057-6425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841858404
Provider Name
Southern Illinois Treatment Center, Llc
Credential
Provider Entity Type
Organization
Address
304 Wesley Dr Ste 302306, Wood River, IL, 75057-6425
Phone Number
618-258-7592
Fax Number
Provider Enumeration Date
05/30/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
304 Wesley Dr Ste 302306
City
Wood River
State
Illinois
Zip
62095-2266
Phone Number
618-258-7592
Fax Number
person
Provider Business Mailing Address Details
Address
304 Wesley Dr Ste 302306
City
Wood River
State
Illinois
Zip
62095-2266
Phone Number
618-258-7592
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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