| Centerstone Of Illinois, Inc | |
|
1307 W Main St Marion IL 62959-1139 | |
| (618) 997-5336 | |
| (618) 993-2969 |
| Full Name | Centerstone Of Illinois, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1307 W Main St, Marion, Illinois |
| Authorized Official Name and Position | Stacy Phillips (BILLING MANAGER) |
| Authorized Official Contact | 6189376483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerstone Of Illinois, Inc 1307 W Main St Marion IL 62959-1139 Ph: (618) 997-5336 | Centerstone Of Illinois, Inc 1307 W Main St Marion IL 62959-1139 Ph: (618) 997-5336 |
| NPI Number | 1386969533 |
|---|---|
| Provider Enumeration Date | 03/31/2010 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386969533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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