Organization
ONE HOPE UNITED
Active
Other names
One Hope United- Hudelson Region
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CHRISTINE KELLY (ASST DIRECTOR OF BH)
(217) 347-5880
Entity
Organization
Contact information
Practice address
1400 E MCCORD ST, CENTRALIA, IL 62801-3702
(618) 532-4311
(618) 532-4318
Mailing address
1400 E MCCORD ST, P.O. BOX 548, CENTRALIA, IL 62801-3702
(618) 532-4311
(618) 532-4318
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
010052-10
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370697157001
—
IL
Enumeration date
04/07/2006
Last updated
08/16/2024
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