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Organization
WEBSTER CANTRELL YOUTH ADVOCACY
Active
Organization
WEBSTER CANTRELL YOUTH ADVOCACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WARNER (CEO)
(217) 423-6961
Entity
Organization
Contact information
Practice address
1942 E CANTRELL ST, DECATUR, IL 62521-3214
(217) 423-6961
(217) 421-6889
Mailing address
1942 E CANTRELL ST, DECATUR, IL 62521-3214
(217) 423-6961
(217) 421-6889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
Other
Enumeration date
01/10/2020
Last updated
05/17/2021
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