Organization
LIFEWAY BEHAVIORAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DANIEL MELTON PHD (CEO)
(217) 935-3900
Entity
Organization
Contact information
Practice address
200 E MAIN ST, CLINTON, IL 61727-3001
(217) 935-3900
Mailing address
200 E MAIN ST, CLINTON, IL 61727-3001
(217) 935-3900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A53210001A
IL
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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