Organization
MENDED HEARTS STABLE
Active
Other names
Mended Hearts Stable, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ELISE SELLNER LCPC (EXECUTIVE DIRECTOR)
(309) 383-4323
Entity
Organization
Contact information
Practice address
1431 LOURDES RD, METAMORA, IL 61548-7609
(309) 383-4323
(309) 383-3399
Mailing address
1431 LOURDES RD, METAMORA, IL 61548-7609
(309) 383-4323
(309) 383-3399
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
180005723
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
07/10/2024
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