| Centerstone Of Illinois, Inc | |
|
118 Krause Dr Jerseyville IL 62052-3610 | |
| (618) 937-6483 | |
| Not Available |
| Full Name | Centerstone Of Illinois, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 118 Krause Dr, Jerseyville, Illinois |
| Authorized Official Name and Position | Stacy D Phillips (ACCOUNTS RECEIVABLE 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 902 W Main West Frankfort IL 62896-2210 Ph: (618) 937-6483 | Centerstone Of Illinois, Inc 118 Krause Dr Jerseyville IL 62052-3610 Ph: (618) 937-6483 |
| NPI Number | 1861700585 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 11/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861700585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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