Organization
DELTA CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA TOLBERT (EXECUTIVE DIRECTOR)
(618) 734-2665
Entity
Organization
Contact information
Practice address
130 RICHLAND TER, MOUNDS, IL 62964-1233
(618) 734-2665
(618) 734-1999
Mailing address
130 RICHLAND TER, MOUNDS, IL 62964-1233
(618) 734-2665
(618) 734-1999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
094500030
IL
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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