Full Name | |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 302 South St, Anna, Illinois |
Authorized Official Name and Position | Danuta Del Rio (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6188338851 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 548 Anna IL 62906-0548 Ph: (618) 833-8551 | 302 South St Anna IL 62906 Ph: (618) 833-8551 |
NPI Number | 1326335589 |
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Provider Enumeration Date | 07/07/2011 |
Last Update Date | 07/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326335589 | NPI | - | NPPES |
04142 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Arrowleaf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 South St, Anna, IL 62906 Phone: 618-833-8551 Fax: 618-833-2911 | |
Union County Counseling Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 South St, Anna, IL 62906 Phone: 618-833-8551 Fax: 618-833-2911 | |
Union County Counseling Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 204 South Street, Anna, IL 62906 Phone: 618-833-8551 Fax: 618-833-2911 |