Organization · Type 2 NPI

Good Samaritan House of Granite City, Inc

Adolescent and Children Mental Health Clinic/Center · Granite City, IL

NPI number 1134612054 Active

Practice location

1825 Delmar Ave
Granite City, IL 62040-4508

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X149.019998 (IL)
Adult Mental Health Clinic/Center 261QM0850X149.019998 (IL)
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X149.019998 (IL)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Another provider at this address

About NPI 1134612054

Good Samaritan House of Granite City, Inc's National Provider Identifier is 1134612054, issued on Jun 14, 2018. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Granite City, IL. The record was last updated on Jun 14, 2018.