Whalio Doctors

NPI 1225361769

Mental Health Centers of Central Illinois

Organisation Mental Illness Community Based Residential Treatment Facility Springfield, IL

Practice location

Address
200 W Lake Dr Building a, Springfield, IL 62703-4956
Phone
(217) 529-9775
Fax
(217) 529-9803
Mailing address
200 W Lake Dr Bldg a, Springfield, IL 62703-4956

Authorised official

Name
Ann Bowling
Title
Director
Phone
(217) 588-2626

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X

Registry record

NPI
1225361769
Entity type
Organization
NPI issued
16 Sep 2009
Record last updated
31 Oct 2023

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.