| Memorial Behavioral Health - Springfield Residential Center (bldg A) | |
|
200 W Lake Dr Building A Springfield IL 62703-4956 | |
| (217) 529-9775 | |
| (217) 529-9803 |
| Full Name | Memorial Behavioral Health - Springfield Residential Center (bldg A) |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 200 W Lake Dr, Springfield, Illinois |
| Authorized Official Name and Position | Ann Bowling (DIRECTOR) |
| Authorized Official Contact | 2175882626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Behavioral Health - Springfield Residential Center (bldg A) 200 W Lake Dr Bldg A Springfield IL 62703-4956 Ph: (217) 529-9775 | Memorial Behavioral Health - Springfield Residential Center (bldg A) 200 W Lake Dr Building A Springfield IL 62703-4956 Ph: (217) 529-9775 |
| NPI Number | 1225361769 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225361769 | NPI | - | NPPES |
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