| Coles County Mental Health Association, Inc | |
|
1817 S Neil St Ste 104 Champaign IL 61820-7268 | |
| (217) 238-5700 | |
| (217) 238-5767 |
| Full Name | Coles County Mental Health Association, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1817 S Neil St Ste 104, Champaign, Illinois |
| Authorized Official Name and Position | Lynette Ashmore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2172385700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coles County Mental Health Association, Inc 750 Broadway Ave E Mattoon IL 61938-4610 Ph: (217) 238-5735 | Coles County Mental Health Association, Inc 1817 S Neil St Ste 104 Champaign IL 61820-7268 Ph: (217) 238-5700 |
| NPI Number | 1427725522 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Certification Date | 08/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427725522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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