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Organization
STRESS & TRAUMA TREATMENT CENTER, INC.
Active
Organization
STRESS & TRAUMA TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MATTHEW BUCKMAN PH D (EXECUTIVE DIRECTOR)
(270) 997-1065
Entity
Organization
Contact information
Practice address
1200 LOCUST ST, ELDORADO, IL 62930-1723
(618) 252-9036
(618) 216-9993
Mailing address
1200 LOCUST ST, ELDORADO, IL 62930-1723
(618) 252-9036
(618) 216-9993
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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