Centerstone Of Illinois, Inc | |
2615 Edwards St Alton IL 62002-3915 | |
(618) 937-6483 | |
Not Available |
Full Name | Centerstone Of Illinois, Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2615 Edwards St, Alton, Illinois |
Authorized Official Name and Position | Stacy Phillips (ACCOUNTS RECEIVEABLE DEPT MANAGER) |
Authorized Official Contact | 6189376483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centerstone Of Illinois, Inc 2615 Edwards St Alton IL 62002-3915 Ph: (618) 937-6483 | Centerstone Of Illinois, Inc 2615 Edwards St Alton IL 62002-3915 Ph: (618) 937-6483 |
NPI Number | 1851757579 |
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Provider Enumeration Date | 01/11/2016 |
Last Update Date | 03/17/2021 |
Certification Date | 03/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851757579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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› Verified 8 days ago
Centerstone Of Illinois, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-937-6483 | |
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