| Organization Name: | HUMAN SERVICE CENTER OF SOUTHERN METRO EAST |
| NPI Number: | 1134199037 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENDRA KENNEDY (CLINICIAL DIRECTOR) |
| Mailing Address: | 10257 State Route 3 Red Bud |
| State: | IL US |
| Postal Code: | 622784418 |
| Phone Number: | 6182826233 |
| Fax Number: | 6182826949 |
| NPI Enumeration Date: | 01/24/2006 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |