COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY INC. NPI 1679742506

NPI Information

NPI: 1679742506
Provider Name: COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1501 S G ST
EAST SAINT LOUIS, IL
ZIP 62207
Phone: (618) 482-7330
Get Directions

COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. is a community based residential treatment facility mental illness in East Saint Louis, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. NPI is 1679742506. The provider is registered as an organization entity type.

The provider's business location address is:

1501 S G ST
EAST SAINT LOUIS, IL
ZIP 62207-057
Phone: (618) 482-7330
Fax: (618) 482-4351

The provider's authorized official is Joseph J Harper .
The authorized official title is Executive Director and has the following contact phone number (618) 482-7330.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 7/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04037	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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