# WEBSTER-CANTRELL HALL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114275435
- **Authorized official:** MR. ROBIN J CROWE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (217) 423-6961

## Contact information

- **Practice address:** 1220 UNDERWOOD CT, DECATUR, IL 62526-1983
- **Practice address phone:** (217) 233-6811
- **Mailing address:** 1942 E CANTRELL ST, DECATUR, IL 62521-3214
- **Mailing address phone:** (217) 423-6961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 060479-11 | IL | Yes |

## Other

- **Enumeration date:** 08/16/2012
- **Last updated:** 08/16/2012