Organization
HOPE CLINICAL CARE
Active
Other names
The Autism Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT WILLIAM PAUL (CEO)
(217) 585-5134
Entity
Organization
Contact information
Practice address
5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 62703-5771
(217) 525-8332
Mailing address
15 E HAZEL DELL LN, SPRINGFIELD, IL 62712-4210
(217) 585-5134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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