Organization
INSPIRED INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA L WALKER (CEO/FOUNDER)
(618) 207-3479
Entity
Organization
Contact information
Practice address
8704 STATE ST, EAST SAINT LOUIS, IL 62203-2048
(618) 207-3479
(618) 216-1172
Mailing address
8704 STATE ST, EAST SAINT LOUIS, IL 62203-2048
(618) 207-3479
(618) 216-1172
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
A4215-0001-A
IL
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
A4215-0001-A
IL
252Y00000X
Early Intervention Provider Agency
A4215-0001-A
IL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/14/2015
Last updated
03/29/2016
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