| One Hope United | |
|
421 S Grand Ave W Ste 2b Springfield IL 62704-3769 | |
| (217) 789-7637 | |
| Not Available |
| Full Name | One Hope United |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 421 S Grand Ave W Ste 2b, Springfield, Illinois |
| Authorized Official Name and Position | Heather Christine Kelly (ASST DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 2172735398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Hope United 520 E Capitol Ave Springfield IL 62701-1814 Ph: (217) 789-7637 | One Hope United 421 S Grand Ave W Ste 2b Springfield IL 62704-3769 Ph: (217) 789-7637 |
| NPI Number | 1063878213 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063878213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149004958 (Illinois) | Primary |
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