# UNITED METHODIST CHILDREN'S HOME OF SOUTHERN ILLINOIS INC.

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

## Provider details

- **NPI number:** 1619146115
- **Authorized official:** MR. CLETE P WINKELMANN M.S. (PRESIDENT/CEO)
- **Authorized official phone:** (618) 242-1070

## Contact information

- **Practice address:** 2023 RICHVIEW RD, MOUNT VERNON, IL 62864-2884
- **Practice address phone:** (618) 242-1070
- **Practice address fax:** (618) 242-9381
- **Mailing address:** 2023 RICHVIEW RD, MOUNT VERNON, IL 62864-2884
- **Mailing address phone:** (618) 242-1070
- **Mailing address fax:** (618) 242-9381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 021068-11 | IL | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 02/28/2008