Organization
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Active
Parent organization
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Other names
Memorial Behavioral Health - Springfield Residential Center (Bldg A)
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Authorized official
ANN BOWLING (DIRECTOR)
(217) 588-2626
Entity
Organization
Contact information
Practice address
200 W LAKE DR, BUILDING A, SPRINGFIELD, IL 62703-4956
(217) 529-9775
(217) 529-9803
Mailing address
200 W LAKE DR BLDG A, SPRINGFIELD, IL 62703-4956
(217) 529-9775
(217) 529-9803
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
10/31/2023
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