JEFFERSON COUNTY COMPREHENSIVE SVC
Ambulatory Health at Rr 5, South Crouch, IL

License number
Illinois 04083
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DANIEL P BOEHMER MA, LCPC, QMHP
Title: EXECUTIVE DIRECTOR
Phone: (618) 242-1994
Address
Address 2
Rr 5, South Crouch, IL 62859
PO Box 428, Camp Ground, IL 62864
National Provider ID: 1114216686
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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