Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 901 W 3rd St, Flora, Illinois |
Authorized Official Name and Position | Glenn Jackson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6183954309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box M 504 Micah Drive Olney IL 62450-0913 Ph: (618) 395-4306 | 901 W 3rd St Flora IL 62839-1287 Ph: (618) 662-2871 |
NPI Number | 1831368380 |
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Provider Enumeration Date | 02/28/2008 |
Last Update Date | 05/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831368380 | NPI | - | NPPES |
Illinois Associates Psychiatry P C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 N Stanford Rd, Flora, IL 62839 Phone: 618-656-2000 | |