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900 Royal Heights Rd Suite 1150 Belleville IL 62226-5457 | |
| (618) 688-1150 | |
| (618) 277-7084 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 900 Royal Heights Rd, 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 |
|---|---|
8601 W Main St Ste. 201 Belleville IL 62223-1719 Ph: (618) 394-5900 | 900 Royal Heights Rd Suite 1150 Belleville IL 62226-5457 Ph: (618) 688-1150 |
| NPI Number | 1669738563 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669738563 | NPI | - | NPPES |
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