Whalio Doctors

NPI 1104111293

Residential Options, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Edwardsville, IL

Practice location

Address
910 Esic Dr, Edwardsville, IL 62025-3812
Phone
(618) 692-1906
Fax
(618) 692-9522
Mailing address
4 Emmie L Kaus Ln, Alton, IL 62002-8865

Authorised official

Name
Diane Tebbe
Title
Vice President
Phone
(618) 465-0044

Registered specialties (4)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1104111293
Entity type
Organization
NPI issued
16 Jun 2011
Record last updated
30 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.