|
| |
|
645 Berkshire Blvd East Alton IL 62024-1324 | |
| (618) 258-8750 | |
| (618) 258-8751 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 645 Berkshire Blvd, East Alton, 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 Suite 201 Belleville IL 62223-1719 Ph: (618) 688-1161 | 645 Berkshire Blvd East Alton IL 62024-1324 Ph: (618) 258-8750 |
| NPI Number | 1588900906 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588900906 | NPI | - | NPPES |
| 1861758575 | Medicaid | IL | |
| 1598031700 | Medicaid | IL |
Bridge Of Hope Counseling Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 39 Dell Ave, East Alton, IL 62024 Phone: 618-977-8251 | |
Pasta's Purpose Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Eastgate Plz, East Alton, IL 62024 Phone: 618-306-9173 | |
Centerstone Of Illinois, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-937-6483 |