| Children's Center For Behavioral Developement | |
|
353 N 88th St Highway 157 South Centreville IL 62203-2705 | |
| (618) 398-1152 | |
| (618) 398-6977 |
| Full Name | Children's Center For Behavioral Developement |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 353 N 88th St, Centreville, Illinois |
| Authorized Official Name and Position | Raymond C. Amrhein (BUSINESS MANAGER) |
| Authorized Official Contact | 6183981152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Center For Behavioral Developement 353 N 88th St Highway 157 South Centreville IL 62203-2705 Ph: (618) 398-1152 | Children's Center For Behavioral Developement 353 N 88th St Highway 157 South Centreville IL 62203-2705 Ph: (618) 398-1152 |
| NPI Number | 1164612065 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164612065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Illinois) | Primary |
Sihf Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2740 | |
Mobile Medical Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2740 |