Southern Illinois Treatment Center, LLC
Southern Illinois Treatment Center, LLC is an Addiction (Substance Use Disorder) Counselor in Wood River, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
304 Wesley Dr Ste 302306Wood River, IL 62095-2266
Phone: (618) 258-7592
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Methadone Clinic | Taxonomy 261QM2800X |
Record details
| NPI number | 1841858404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Jarvie — Vp, Treasurer · (214) 379-3300 |
| Other names | Medmark Treatment Centers Wood River |
| NPI enumerated | May 30, 2019 |
| Last updated in NPPES | July 29, 2024 |
| Certification date | July 29, 2024 |
| Mailing address | 1720 Lakepointe Dr Ste 117, Lewisville, TX 75057-6425 |
Other providers in Wood River
-
Melonee Cornish, CRADC
304 Wesley Dr, Wood River, IL 62095-2266 · (618) 258-7592
-
Amanda C McMurray, CADC
304 Wesley Dr, Wood River, IL 62095-2266 · (618) 258-7592