Organization
UNITED METHODIST CHILDREN'S HOME OF SOUTHERN ILLINOIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLETE P WINKELMANN M.S. (PRESIDENT/CEO)
(618) 242-1070
Entity
Organization
Contact information
Practice address
2023 RICHVIEW RD, MOUNT VERNON, IL 62864-2884
(618) 242-1070
(618) 242-9381
Mailing address
2023 RICHVIEW RD, MOUNT VERNON, IL 62864-2884
(618) 242-1070
(618) 242-9381
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
021068-11
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000-IPI-09
—
IL
Enumeration date
02/28/2008
Last updated
02/28/2008
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