Organization
ABC COUNSELING AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BOX (BILLING COORDINATOR)
(639) 451-9495
Entity
Organization
Contact information
Practice address
1110 ARBOR DR, STE C, DECATUR, IL 62526-9285
(217) 877-9217
(217) 877-9218
Mailing address
1110 ARBOR DR, STE C, DECATUR, IL 62526-9285
(217) 877-9217
(217) 877-9218
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2A00-IPI-175
—
IL
Enumeration date
11/23/2016
Last updated
11/23/2016
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