Organization · Type 2 NPI
Fundamental Behavioral Health
Adolescent and Children Mental Health Clinic/Center · Collinsville, IL
Practice location
604 Beverly Ln
Collinsville, IL 62234-2912
Mailing address
PO Box 204
Collinsville, IL 62234-0204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
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.
About NPI 1194404319
Fundamental Behavioral Health's National Provider Identifier is 1194404319, issued on Jul 14, 2023. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Collinsville, IL. The record was last updated on Jan 9, 2024.