Organization
DELTA CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA TOLBERT (EXECUTIVE DIRECTOR)
(618) 734-2665
Entity
Organization
Contact information
Practice address
421 30TH ST, CAIRO, IL 62914-1344
(618) 734-2665
(618) 734-1999
Mailing address
1400 COMMERCIAL AVE, CAIRO, IL 62914-1978
(618) 734-2665
(618) 734-1999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04045
IL
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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