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Organization
HOPE CLINICAL CARE
Active
Organization
HOPE CLINICAL CARE
Active
Other names
The Autism Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT WILLIAM PAUL (CEO)
(217) 585-5134
Entity
Organization
Contact information
Practice address
5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 62703-5771
(217) 525-8332
Mailing address
15 E HAZEL DELL LN, SPRINGFIELD, IL 62712-4210
(217) 585-5134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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