Organization
MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE BOWEN (CHIEF FINANCIAL OFFICER)
(217) 773-3325
Entity
Organization
Contact information
Practice address
211 COUNTRY LN, MOUNT STERLING, IL 62353-1300
(217) 773-3325
(217) 773-2425
Mailing address
700 SE CROSS ST, MOUNT STERLING, IL 62353-1561
(217) 773-3325
(217) 773-2425
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/11/2011
Last updated
07/06/2021
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