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1305 W Main St Marion IL 62959-1139 | |
| (618) 937-6483 | |
| (618) 937-1440 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1305 W Main St, Marion, Illinois |
| Authorized Official Name and Position | John Markley (CEO) |
| Authorized Official Contact | 61893764583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1305 W Main St Marion IL 62959-1139 Ph: (618) 937-6483 | 1305 W Main St Marion IL 62959-1139 Ph: (618) 937-6483 |
| NPI Number | 1184931453 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 09/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184931453 | NPI | - | NPPES |
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