Organization
RESIDENTIAL OPTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE TEBBE (VICE PRESIDENT)
(618) 465-0044
Entity
Organization
Contact information
Practice address
4452 INDUSTRIAL DR, ALTON, IL 62002-5938
(618) 465-0044
(618) 462-4124
Mailing address
4 EMMIE L KAUS LN, ALTON, IL 62002-8865
(618) 465-0044
(618) 462-4124
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
94S229
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
94S229
IL
Other
Enumeration date
06/04/2009
Last updated
07/21/2022
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