| Adapt Of Illinois, Inc. | |
|
20 N 9th St Belleville IL 62220-1150 | |
| (877) 553-9440 | |
| (312) 553-9441 |
| Full Name | Adapt Of Illinois, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 N 9th St, Belleville, Illinois |
| Authorized Official Name and Position | Cynthia Janicak (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8775539440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adapt Of Illinois, Inc. 2600 West Blvd Belleville IL 62221-5605 Ph: (877) 553-9440 | Adapt Of Illinois, Inc. 20 N 9th St Belleville IL 62220-1150 Ph: (877) 553-9440 |
| NPI Number | 1720370489 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720370489 | NPI | - | NPPES |
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