| |
8601 West Main Street Suite 201 Belleville IL 62226-1719 | |
(618) 397-5900 | |
(618) 394-5909 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8601 West Main Street Suite 201, Belleville, Illinois |
Authorized Official Name and Position | Gary Huelsmann (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6182138705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8601 W Main St Suite 201 Belleville IL 62223-1719 Ph: (618) 394-5900 | 8601 West Main Street Suite 201 Belleville IL 62226-1719 Ph: (618) 397-5900 |
NPI Number | 1154399780 |
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Provider Enumeration Date | 03/09/2006 |
Last Update Date | 01/07/2021 |
Certification Date | 01/07/2021 |
Identifier | Type | State | Issuer |
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1154399780 | NPI | - | NPPES |
180025 | Other | IL | DCFS CONTRACT # |
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Project Odyssey Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Gass Ave, Belleville, IL 62220 Phone: 337-602-8884 Fax: 618-418-4422 | |
Catholic Social Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8601 W Main St, Belleville, IL 62223 Phone: 618-394-5900 | |
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