Centerstone Of Illinois, Inc | |
403 Municipal Dr Carterville IL 62918-2042 | |
(618) 937-6483 | |
Not Available |
Full Name | Centerstone Of Illinois, Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 403 Municipal Dr, Carterville, Illinois |
Authorized Official Name and Position | Stacy Phillips (BILLING MANAGER) |
Authorized Official Contact | 6189376483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centerstone Of Illinois, Inc 403 Municipal Dr Carterville IL 62918-2042 Ph: () - | Centerstone Of Illinois, Inc 403 Municipal Dr Carterville IL 62918-2042 Ph: (618) 937-6483 |
NPI Number | 1316284516 |
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Provider Enumeration Date | 01/08/2013 |
Last Update Date | 04/23/2021 |
Certification Date | 04/23/2021 |
Identifier | Type | State | Issuer |
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1316284516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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