Organization
ALPHA OMEGA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRICK LEE KILEY CADC (PRESIDENT/DIRECTOR)
(217) 274-7336
Entity
Organization
Contact information
Practice address
120 N VERMILION, DANVILLE, IL 61832
(217) 274-7336
Mailing address
120 N VERMILION, DANVILLE, IL 61832
(217) 274-7336
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-3599-0001-A
IL
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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