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Organization
ELM CITY REHABILITATION CENTER, INC.
Active
Organization
ELM CITY REHABILITATION CENTER, INC.
Active
Other names
Elm City Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARI A GOSNELL (PRESIDENT/CEO)
(217) 245-9504
Entity
Organization
Contact information
Practice address
575 BROOKLYN AVE, JACKSONVILLE, IL 62650-2926
(217) 245-9504
(217) 245-2350
Mailing address
1314 W WALNUT ST, JACKSONVILLE, IL 62650-1148
(217) 245-9504
(217) 245-2350
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
11/15/2024
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