| One Hope United | |
|
2929 Broadway St Suite 7a Mount Vernon IL 62864-2383 | |
| (618) 242-8226 | |
| Not Available |
| Full Name | One Hope United |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2929 Broadway St, Mount Vernon, Illinois |
| Authorized Official Name and Position | Heather Christine Kelly (ASSISTANT DIRECTOR OF BH) |
| Authorized Official Contact | 2172735398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Hope United 1400 E Mccord St Po Box 548 Centralia IL 62801-3702 Ph: (618) 532-4311 | One Hope United 2929 Broadway St Suite 7a Mount Vernon IL 62864-2383 Ph: (618) 242-8226 |
| NPI Number | 1154629673 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154629673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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