Substance Abuse Outpatient

LBN: Jefferson County Comprehensive
Substance Abuse Outpatient is an health care organization with primary practice located at 16338 N Il Hwy 37 , Mt Vernon IL 62864. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Jefferson County Comprehensive can be contacted via phone (618) 242-1994, or through Boehmer, Daniel P via phone (618) 242-1994.

Contact Information

Primary practice address
16338 N Il Hwy 37 Mt Vernon IL 62864
Phone: (618) 242-1994
Fax: (618) 242-6392
Website:
Map and Directions
Authorized official contact:
Name: Boehmer, Daniel P MA, LCPC, QMHP
Phone: (618) 242-1994

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 002250003 Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 002250003 Illinois

Profile Details

NPI number 1649404708
LBN Legal business name Jefferson County Comprehensive
DBA Doing business as Substance Abuse Outpatient
Authorized official Boehmer, Daniel P MA, LCPC, QMHP
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2009
Last updated Aug 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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