| Balanced Care Mental Health Services | |
|
1945 S Spring St Springfield IL 62704-3943 | |
| (217) 492-2000 | |
| (217) 492-2005 |
| Full Name | Balanced Care Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1945 S Spring St, Springfield, Illinois |
| Authorized Official Name and Position | Patrick G O'donnell (OWNER) |
| Authorized Official Contact | 2174922000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Care Mental Health Services 1945 S Spring St Springfield IL 62704-3943 Ph: (217) 492-2000 | Balanced Care Mental Health Services 1945 S Spring St Springfield IL 62704-3943 Ph: (217) 492-2000 |
| NPI Number | 1164661971 |
|---|---|
| Provider Enumeration Date | 02/18/2009 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164661971 | NPI | - | NPPES |
| 036108929 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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