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Organization

CENTERSTONE OF ILLINOIS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY D PHILLIPS (AR MANAGER)
(618) 937-6483
Entity
Organization

Contact information

Practice address
1205 W MAIN ST, MARION, IL 62959-1137
(877) 467-3123
Mailing address
1205 W MAIN ST, MARION, IL 62959-1137

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
01/31/2019
Last updated
09/13/2024
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