Park Place Center
Park Place Center is a Clinical Social Worker in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
201 E Morgan StJacksonville, IL 62650-2508
Phone: (217) 245-1655
Fax: (217) 245-4742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.003173 (IL) |
|---|
Record details
| NPI number | 1346451853 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ed Scott — Director · (217) 245-1655 |
| NPI enumerated | May 25, 2007 |
| Last updated in NPPES | October 5, 2012 |
| Mailing address | 201 E Morgan St, P.O. Box 1304, Jacksonville, IL 62650-2508 |
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