Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 254 S 5th St, Albion, 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 | 254 S 5th St Albion IL 62806-1121 Ph: (618) 445-3559 |
NPI Number | 1205005758 |
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Provider Enumeration Date | 02/28/2008 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205005758 | NPI | - | NPPES |