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County of Jasper

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

NPI 1780151167 · NPPES record last updated Aug 7, 2024

Key facts

NPI
1780151167
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
COUNTY OF JASPER
Practice address
117 N Boone St
Olney, IL 62450-2109
Phone
(618) 392-3226
NPI assigned
Oct 24, 2018
Organization subpart
Yes
Parent organization (as reported)
COUNTY OF JASPER

Authorized official

Name
Jeannie Johnson, MS, LCPC, CADC
Title
Director of Behavioral Health
Phone
(618) 783-4154

Corporate family (same tax ID) 7

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

National Provider Directory

Tax ID family
County of Jasper (8 organizations share this tax ID)
Part of
County of Jasper

Locations

405 S Whittle Ave
Olney, IL 62450
Phone (618) 392-3226

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

117 N Boone St
Olney, IL 62450-2109

Mailing address

106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4154

Other names

  • Jasper County Health Department Doing business as

Other providers in Olney, IL

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

Sources for this page

Verify at the official NPI Registry.