Organization
TRANSITIONAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW D HEBRON (CFO)
(618) 401-3900
Entity
Organization
Contact information
Practice address
353 N 88TH ST, CENTREVILLE, IL 62203-2705
(618) 293-0084
Mailing address
353 N 88TH ST, CENTREVILLE, IL 62203-2705
(618) 293-0084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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