| Karla Smith Behavioral Health | |
|
200 N Lincoln Ave O Fallon IL 62269-1415 | |
| (618) 624-5771 | |
| (618) 206-6508 |
| Full Name | Karla Smith Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 N Lincoln Ave, O Fallon, Illinois |
| Authorized Official Name and Position | Emily M Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6186245771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karla Smith Behavioral Health 200 N Lincoln Ave O Fallon IL 62269-1415 Ph: (618) 624-5771 | Karla Smith Behavioral Health 200 N Lincoln Ave O Fallon IL 62269-1415 Ph: (618) 624-5771 |
| NPI Number | 1366923641 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 08/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366923641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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