Organization · Type 2 NPI

West Lake Residential - Building 220

Mental Illness Community Based Residential Treatment Facility · Springfield, IL

NPI number 1104071125 Active

Practice location

200 W Lake Dr, Building 220
Springfield, IL 62703-4956

Call (217) 588-7934 Map

Fax (217) 529-9803

Mailing address

200 W Lake Dr Bldg 220
Springfield, IL 62703-4956

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1104071125

West Lake Residential - Building 220's National Provider Identifier is 1104071125, issued on Nov 18, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Springfield, IL. The record was last updated on Oct 31, 2023.