| Centerstone Of Illinois, Inc | |
|
1205 W Main St Marion IL 62959-1137 | |
| (877) 467-3123 | |
| Not Available |
| Full Name | Centerstone Of Illinois, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1205 W Main St, Marion, Illinois |
| Authorized Official Name and Position | Stacy D Phillips (AR 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 1205 W Main St Marion IL 62959-1137 Ph: () - | Centerstone Of Illinois, Inc 1205 W Main St Marion IL 62959-1137 Ph: (877) 467-3123 |
| NPI Number | 1871058149 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871058149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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