| Centerstone Of Illinois, Inc | |
|
2311 S Illinois Ave Carbondale IL 62903-5912 | |
| (618) 937-6483 | |
| Not Available |
| Full Name | Centerstone Of Illinois, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2311 S Illinois Ave, Carbondale, Illinois |
| Authorized Official Name and Position | Stacy Phillips (BILLING MANGER) |
| Authorized Official Contact | 6189376483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerstone Of Illinois, Inc 2311 South Ave Carbondale IL 62903-5912 Ph: () - | Centerstone Of Illinois, Inc 2311 S Illinois Ave Carbondale IL 62903-5912 Ph: (618) 937-6483 |
| NPI Number | 1316282130 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316282130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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