Idjj Sd#428

LBN: Idjj Sd#428
Idjj Sd#428 is an health care organization with primary practice located at 1220 Centreville Ave Fl 2 , Belleville IL 62220-3089. The organization recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as the primary health care specialty. Idjj Sd#428 can be contacted via phone (618) 222-3148, or through Bethel-Leitschuh, Bambi via phone (618) 222-3148.

Contact Information

Primary practice address
1220 Centreville Ave Fl 2 Belleville IL 62220-3089
Phone: (618) 222-3148
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bethel-Leitschuh, Bambi
Phone: (618) 222-3148

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1255977757
LBN Legal business name Idjj Sd#428
DBA Doing business as
Authorized official Bethel-Leitschuh, Bambi
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2019
Last updated Nov 20th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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