Organization
CENTERSTONE OF ILLINOIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY PHILLIPS (ACCOUNTS RECEIVEABLE DEPT MANAGER)
(618) 937-6483
Entity
Organization
Contact information
Practice address
2302 STATE ST, ALTON, IL 62002-4379
(618) 937-6483
Mailing address
2302 STATE ST, ALTON, IL 62002-4379
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
01/11/2016
Last updated
03/17/2021
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