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Organization
CENTERSTONE OF ILLINOIS, INC
Active
Organization
CENTERSTONE OF ILLINOIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY PHILLIPS (DIRECTOR OF REVENUE CYCLES)
(618) 937-6483
Entity
Organization
Contact information
Practice address
118 KRAUSE DR, JERSEYVILLE, IL 62052-3610
(618) 937-6483
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/11/2016
Last updated
07/14/2025
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