Wellspring Resources | |
220 E County Rd Jerseyville IL 62052-3125 | |
(618) 639-2010 | |
Not Available |
Full Name | Wellspring Resources |
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Speciality | Community/behavioral Health |
Location | 220 E County Rd, Jerseyville, Illinois |
Authorized Official Name and Position | Karen Sopronyi-tompkins (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6184622331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellspring Resources 220 E County Rd Jerseyville IL 62052-3125 Ph: (618) 639-2010 | Wellspring Resources 220 E County Rd Jerseyville IL 62052-3125 Ph: (618) 639-2010 |
NPI Number | 1124315932 |
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Provider Enumeration Date | 06/30/2011 |
Last Update Date | 06/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124315932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 180.004917 (Illinois) | Primary |
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