Organization
DELTA CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA TOLBER (EXECUTIVE DIRECTOR)
(618) 734-2665
Entity
Organization
Contact information
Practice address
208 12TH ST, CAIRO, IL 62914-1928
(618) 734-2665
(618) 734-1999
Mailing address
1400 COMMERCIAL AVE, CAIRO, IL 62914-1978
(618) 734-2665
(618) 734-1999
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
04045
IL
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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