Matrix House | |
1302 1/2 W Cherry St Marion IL 62959-1920 | |
(618) 937-6483 | |
(618) 937-1440 |
Full Name | Matrix House |
---|---|
Speciality | Community/behavioral Health |
Location | 1302 1/2 W Cherry St, Marion, Illinois |
Authorized Official Name and Position | John Markley (CEO) |
Authorized Official Contact | 6189376483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Matrix House 902 W Main St West Frankfort IL 62896-2210 Ph: (618) 937-6483 | Matrix House 1302 1/2 W Cherry St Marion IL 62959-1920 Ph: (618) 937-6483 |
NPI Number | 1376817916 |
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Provider Enumeration Date | 02/29/2012 |
Last Update Date | 02/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376817916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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