Salve Regina Center | |
1500 N 5th St Springfield IL 62702-2643 | |
(217) 330-5773 | |
Not Available |
Full Name | Salve Regina Center |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1500 N 5th St, Springfield, Illinois |
Authorized Official Name and Position | Melinda Osborn (OWNER) |
Authorized Official Contact | 2173305773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Salve Regina Center 1500 N 5th St Springfield IL 62702-2643 Ph: (217) 330-5773 | Salve Regina Center 1500 N 5th St Springfield IL 62702-2643 Ph: (217) 330-5773 |
NPI Number | 1053040378 |
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Provider Enumeration Date | 06/10/2022 |
Last Update Date | 01/24/2024 |
Certification Date | 01/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053040378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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