Organization
WELLS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CARTER (EXECUTIVE DIRECTOR)
(217) 243-1871
Entity
Organization
Contact information
Practice address
1300 LINCOLN AVE, JACKSONVILLE, IL 62650-3112
(217) 243-7693
(217) 243-2278
Mailing address
1300 LINCOLN AVE, JACKSONVILLE, IL 62650-3112
(217) 243-7693
(217) 243-2278
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0613-0006-A
IL
324500000X
Substance Abuse Rehabilitation Facility
A-0613-0008-A
IL
Other
Enumeration date
05/05/2015
Last updated
05/15/2015
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