Organization
SINNISSIPPI CENTERS, INC.
Active
Organization
SINNISSIPPI CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A GOOD CPA (VP/CFO)
(815) 284-6611
Entity
Organization
Contact information
Practice address
1122 HEALTHCARE DR, MOUNT CARROLL, IL 61053-1461
(815) 244-1376
(815) 244-3074
Mailing address
1122 HEALTHCARE DR, MOUNT CARROLL, IL 61053-1461
(815) 244-1376
(815) 244-3074
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
01/09/2018
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