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Organization
LOCUST STREET RESOURCE CENTER
Active
Organization
LOCUST STREET RESOURCE CENTER
Active
Other names
Macoupin County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA CLARK (EXECUTIVE DIRECTOR)
(217) 854-3166
Entity
Organization
Contact information
Practice address
320 SOUTH LOCUST STREET, CARLINVILLE, IL 62626
(217) 854-3166
(217) 854-9729
Mailing address
320 SOUTH LOCUST STREET, CARLINVILLE, IL 62626
(217) 854-3166
(217) 854-9729
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
10/24/2024
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