NPI 1114275435

Webster-Cantrell Hall

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Decatur, IL

Practice location

Address: 1220 Underwood CT, Decatur, IL 62526-1983
Phone: (217) 233-6811
Mailing address: 1942 E Cantrell St, Decatur, IL 62521-3214

Authorised official

Name: Robin J Crowe
Title: Chief Executive Officer
Phone: (217) 423-6961

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 060479-11 (IL)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Illinois →

Registry record

NPI: 1114275435
Entity type: Organization
NPI issued: 16 Aug 2012
Record last updated: 16 Aug 2012

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.