Organization
LOCUST STREET RESOURCE CENTER
Active
Other names
Macoupin County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA CLARK (EXECUTIVE DIRECTOR)
(217) 854-3166
Entity
Organization
Contact information
Practice address
320 SOUTH LOCUST STREET, CARLINVILLE, IL 62626
(217) 854-3166
(217) 854-9729
Mailing address
320 SOUTH LOCUST STREET, CARLINVILLE, IL 62626
(217) 854-3166
(217) 854-9729
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
10/24/2024
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