SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES, INC. - NPI 1326238148 - Community/Behavioral Health in Carbondale, IL

Q: What is Southern Il Regional Social Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Southern Illinois Regional Social Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES, INC. (NPI 1326238148) is a healthcare organization registered as a community/behavioral health in Carbondale, Illinois and active in the NPI registry since July 2007. The organization lists Karen S Freitag, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1326238148

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHERN IL REGIONAL SOCIAL SERVICES, INC.

Location Address604 E COLLEGE STCarbondale, IL 62901-3309

Mailing Address604 E College StCarbondale, IL 62901-3309 · (618) 457-6703 · Fax (618) 457-8377

Phone(618) 457-6703

Fax(618) 457-8377

Organization SubpartNo

Authorized OfficialKaren S FreitagExecutive Director · (618) 457-6703

Enumeration DateJuly 27, 2007

Last NPPES UpdateJanuary 8, 2011

✔ NPI 1326238148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Licenses✔ Licensed in IL · A0243-0001-A✔ Licensed in IL · 180006282

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

604 E COLLEGE ST, Carbondale, IL 62901

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Other Names 1

Other NameSouthern Illinois Regional Social Services, Inc.

Other Identifiers 1

Medicaid=========001IL

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GLENDA DALE MOYE R.N.

Registered Nurse