| Outpatient Mental Health Adult | |
|
1005 Health Center Dr Suit 102 Mattoon IL 61938-4693 | |
| (217) 258-4042 | |
| Not Available |
| Full Name | Outpatient Mental Health Adult |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1005 Health Center Dr, Mattoon, Illinois |
| Authorized Official Name and Position | Dennis Pluard (VP OF OPERATIONS) |
| Authorized Official Contact | 2172582102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Mental Health Adult 1005 Health Center Dr Suit 102 Mattoon IL 61938-4693 Ph: (217) 258-4042 | Outpatient Mental Health Adult 1005 Health Center Dr Suit 102 Mattoon IL 61938-4693 Ph: (217) 258-4042 |
| NPI Number | 1598206559 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 03/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598206559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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