| Mclean County Center For H S | |
|
702 W Mulberry St Bloomington IL 61701-2858 | |
| (309) 827-5351 | |
| Not Available |
| Full Name | Mclean County Center For H S |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 702 W Mulberry St, Bloomington, Illinois |
| Authorized Official Name and Position | Tom Barr (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3098275351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclean County Center For H S 108 W Market St Bloomington IL 61701-3918 Ph: (309) 827-5351 | Mclean County Center For H S 702 W Mulberry St Bloomington IL 61701-2858 Ph: (309) 827-5351 |
| NPI Number | 1740432632 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740432632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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