Healing Pathways Of Springfield, Inc. | |
907 Clock Tower Dr Springfield IL 62704-6023 | |
(217) 685-1639 | |
Not Available |
Full Name | Healing Pathways Of Springfield, Inc. |
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Speciality | Community/behavioral Health |
Location | 907 Clock Tower Dr, Springfield, Illinois |
Authorized Official Name and Position | Kristal Lynn Perry Gutierrez (CEO) |
Authorized Official Contact | 2176851639 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healing Pathways Of Springfield, Inc. 907 Clock Tower Dr Springfield IL 62704-6023 Ph: (217) 685-1639 | Healing Pathways Of Springfield, Inc. 907 Clock Tower Dr Springfield IL 62704-6023 Ph: (217) 685-1639 |
NPI Number | 1144644097 |
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Provider Enumeration Date | 02/13/2014 |
Last Update Date | 02/13/2014 |
Identifier | Type | State | Issuer |
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1144644097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 180005489 (Illinois) | Primary |
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