| Group Interventions | |
|
6600 W Main St Ste 4b Belleville IL 62223-3037 | |
| (618) 644-4103 | |
| Not Available |
| Full Name | Group Interventions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6600 W Main St Ste 4b, Belleville, Illinois |
| Authorized Official Name and Position | Mary Parker (DIRECTOR) |
| Authorized Official Contact | 6186444103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Group Interventions Po Box 428 Saint Jacob IL 62281-0428 Ph: (618) 644-4103 | Group Interventions 6600 W Main St Ste 4b Belleville IL 62223-3037 Ph: (618) 644-4103 |
| NPI Number | 1255964870 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255964870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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