NPI:
1356563563
Provider Name:
COMWELL
Former Legal Business Name: HUMAN SERVICE CENTER OF SOUTHERN METRO EAST
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 14D2070993
Address:
2517 STATE ST
CHESTER, IL
ZIP 62233
Phone:
(618) 826-4547
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COMWELL is a rehabilitation and substance use disorder clinic center in Chester, IL. COMWELL NPI is 1356563563. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Human Service Center Of Southern Metro East.
The provider's business location address is:
2517 STATE ST
CHESTER, IL
ZIP 62233-149
Phone: (618) 826-4547
Fax: (618) 282-6220
The provider's authorized official is Kimber L Browne .
The authorized official title is Director Of Finance and has the following contact phone number (618) 282-6233.
The CLIA number assigned to this NPI record is 14D2070993 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/3/2007 and was last updated on 2/3/2021.