| Centerstone Of Illinois, Inc | |
|
202 S Bentley St Marion IL 62959 | |
| (855) 608-3560 | |
| (618) 997-0489 |
| Full Name | Centerstone Of Illinois, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 202 S Bentley St, Marion, Illinois |
| Authorized Official Name and Position | Stacy D Phillips (REVENUE CYCLE DEPARTMENT 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 St West Frankfort IL 62896-2210 Ph: (618) 937-6473 | Centerstone Of Illinois, Inc 202 S Bentley St Marion IL 62959 Ph: (855) 608-3560 |
| NPI Number | 1366007007 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366007007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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