Organization
HALL MELCHI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MELCHI CADC (OWNER)
(217) 954-1128
Entity
Organization
Contact information
Practice address
300 S BROADWAY AVE STE 110A, URBANA, IL 61801-3449
(217) 417-0864
Mailing address
300 S BROADWAY AVE STE 110A, URBANA, IL 61801-3449
(217) 417-0864
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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