| Adapt Of Illinois, Inc. | |
|
614 Summit Ave Collinsville IL 62234-3728 | |
| (877) 553-9440 | |
| (312) 553-9441 |
| Full Name | Adapt Of Illinois, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 614 Summit Ave, Collinsville, 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. 614 Summit Ave Collinsville IL 62234-3728 Ph: (877) 553-9440 |
| NPI Number | 1013209675 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013209675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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