Organization
SANCTUARY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN BASH (PRACTICE ADMINISTRATOR)
(309) 263-5565
Entity
Organization
Contact information
Practice address
8301 BANISTER RD, SEVERN, MD 21144-2827
(309) 263-5565
(309) 263-9336
Mailing address
75 E QUEENWOOD RD, MORTON, IL 61550-2985
(309) 263-5565
(309) 263-9336
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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