| One Hope United | |
|
520 E Capitol Ave Springfield IL 62701-1814 | |
| (217) 789-7637 | |
| (217) 789-0409 |
| Full Name | One Hope United |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 520 E Capitol Ave, Springfield, Illinois |
| Authorized Official Name and Position | Timothy Snowden (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3129495600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Hope United 520 E Capitol Ave Springfield IL 62701-1814 Ph: (217) 789-7637 | One Hope United 520 E Capitol Ave Springfield IL 62701-1814 Ph: (217) 789-7637 |
| NPI Number | 1063878213 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063878213 | NPI | - | NPPES |
| 149004958 | Other | IL | CLINICAL SOCIAL WORKER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149004958 (Illinois) | Primary |
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