Centerstone Of Illinois Inc

NPI 1053455667 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1053455667
Enumeration Date 02/16/2007
Last Updated 10/10/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STACY STACY
Position ADMINISTRATOR
Phone (618) 937-6483
Fax (618) 937-1440
Practice Location
902 W MAIN ST
WEST FRANKFORT IL, 62896-2210, US
Phone (618) 937-6483
Fax (618) 937-1440
Business Location
902 W MAIN ST
WEST FRANKFORT IL, 62896-2210, US
Phone (618) 937-6483
Fax (618) 937-1440
Toxanomy
Taxonomy Code 251S00000X
License State Illinois
License Number A-0234-005-A
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According to our database, Centerstone Of Illinois Inc NPI is 1053455667, taxonomy code is 251S00000X and license number is A-0234-005-A, license state is located at Illinois. Centerstone Of Illinois Inc physically located at 902 W Main St, West Frankfort IL, 62896-2210. NPI Number 1033115704 has the healthcare provider type.

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1053455667 NPI number is provided on an as is basis without warranty of any kind. 1053455667 is maintained by the National Plan & Provider Enumeration System. The contents of Centerstone Of Illinois Inc are for informational purposes only.