| Centerstone Of Illinois, Inc | |
|
2615 Edwards St Alton IL 62002-3915 | |
| (618) 937-6483 | |
| Not Available |
| Full Name | Centerstone Of Illinois, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2615 Edwards St, Alton, Illinois |
| Authorized Official Name and Position | Stacy Phillips (ACCOUNTS RECEIVEABLE DEPT MANAGER) |
| Authorized Official Contact | 6189376483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerstone Of Illinois, Inc 2615 Edwards St Alton IL 62002-3915 Ph: (618) 937-6483 | Centerstone Of Illinois, Inc 2615 Edwards St Alton IL 62002-3915 Ph: (618) 937-6483 |
| NPI Number | 1851757579 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851757579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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