Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Other names
Alton Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA PIEPHOFF (HOSPITAL ADMINISTRATOR)
(618) 474-3473
Entity
Organization
Contact information
Practice address
4500 COLLEGE AVE, ALTON, IL 62002
(618) 474-3800
Mailing address
4500 COLLEGE AVE, ALTON, IL 62002-5051
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000194572001
—
IL
Enumeration date
08/01/2006
Last updated
08/21/2018
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