Delta Center, Inc | |
130 Richland Ter Mounds IL 62964-1233 | |
(618) 734-2665 | |
(618) 734-1999 |
Full Name | Delta Center, Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 130 Richland Ter, Mounds, Illinois |
Authorized Official Name and Position | Lisa Tolbert (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6187342665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Delta Center, Inc 130 Richland Ter Mounds IL 62964-1233 Ph: (618) 734-2665 | Delta Center, Inc 130 Richland Ter Mounds IL 62964-1233 Ph: (618) 734-2665 |
NPI Number | 1972805919 |
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Provider Enumeration Date | 11/24/2010 |
Last Update Date | 11/24/2010 |
Identifier | Type | State | Issuer |
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1972805919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 094500030 (Illinois) | Primary |