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Organization
TRANSITIONS OF WESTERN ILLINOIS
Active
Organization
TRANSITIONS OF WESTERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DEAN (DIRECTOR OF BUSINESS SERVICES)
(217) 223-0423
Entity
Organization
Contact information
Practice address
4409 MAINE ST, QUINCY, IL 62305-5849
(217) 223-0423
(217) 223-0461
Mailing address
927 BROADWAY ST, QUINCY, IL 62301-2719
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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