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Organization

WELLSPRING RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAREN SOPRONYI-TOMPKINS (EXECUTIVE DIRECTOR)
(618) 462-2331
Entity
Organization

Contact information

Practice address
220 E COUNTY RD, JERSEYVILLE, IL 62052-3125
(618) 639-2010
Mailing address
220 E COUNTY RD, JERSEYVILLE, IL 62052-3125
(618) 639-2010

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180.004917
IL

Other

Enumeration date
06/30/2011
Last updated
06/30/2011
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