Organization
TRANSITIONS OF WESTERN ILLINOIS INC.
Active
Organization
TRANSITIONS OF WESTERN ILLINOIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICKIE STULL (INFORMATION SERVICES SPECIALIST)
(217) 223-0423
Entity
Organization
Contact information
Practice address
4409 MAINE ST, QUINCY, IL 62305-5849
(217) 223-0413
Mailing address
4409 MAINE ST, QUINCY, IL 62305-5849
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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