Comwell

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Sparta, IL

NPI 1497968093 · NPPES record last updated Feb 4, 2021

Key facts

NPI
1497968093
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
License
A-0280-0002-A (IL)
Legal business name
COMWELL
Practice address
104 Northtown Rd
Sparta, IL 62286
Phone
(618) 443-3045
Fax
(618) 443-5767
NPI assigned
May 8, 2007
Organization subpart
No

Authorized official

Name
Kimber L Browne
Title
Director of Finance
Phone
(618) 282-6233

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Human Service Center (22 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0280-0002-A IL Yes

Addresses

Primary practice location

104 Northtown Rd
Sparta, IL 62286

Mailing address

104 Northtown Rd
Sparta, IL 62286-1081
Phone (618) 443-3045

Other providers in Sparta, IL

All providers in Sparta, IL · Substance Use Disorder Rehabilitation Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.