Centerstone Of Illinois, Inc | |
2302 State St Alton IL 62002-4379 | |
(618) 937-6483 | |
Not Available |
Full Name | Centerstone Of Illinois, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 2302 State St, Alton, Illinois |
Authorized Official Name and Position | Stacy D Phillips (ACCOUNTS RECEIVABLE DEPT MANAGER) |
Authorized Official Contact | 6189376483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centerstone Of Illinois, Inc 902 W Main West Frankfort IL 62896-2210 Ph: (618) 937-6483 | Centerstone Of Illinois, Inc 2302 State St Alton IL 62002-4379 Ph: (618) 937-6483 |
NPI Number | 1386899383 |
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Provider Enumeration Date | 11/19/2008 |
Last Update Date | 11/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386899383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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