SOUTHERN ILLINOIS COMMUNITY SUPPORT SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in New Baden, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SOUTHERN ILLINOIS COMMUNITY SUPPORT SERVICES NPI is 1184091167. The provider is registered as an organization entity type.
The provider's business location address is:
300 E ILLINOIS ST
NEW BADEN, IL
ZIP 62265-822
Phone: (618) 588-7136
Fax: (618) 588-4673
The provider's authorized official is Michael Brave .
The authorized official title is Cfo and has the following contact phone number 61858820066.
The enumeration date for this NPI number is 8/26/2015 and was last updated on 8/26/2015.