Organization · Type 2 NPI

Mental Health Centers of Central Illinois

Mental Illness Community Based Residential Treatment Facility · Springfield, IL

NPI number 1659525863 Active

Practice location

200 W Lake Dr, Buidling B
Springfield, IL 62703-4956

Call (217) 588-7931 Map

Fax (217) 529-9803

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None 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.

7 other providers at this address

Other mental illness community based residential treatment facility providers in Springfield

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NPI record

NPI: 1659525863
Entity type: Organization (Type 2)
Issued: Nov 14, 2008
Last updated: Oct 31, 2023
Status: Active
Subpart: Yes of Mental Health Centers of Central Illinois

Other names

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Memorial Behavioral Health - Springfield Residential Center (bldg B) · doing business as
Memorial Behavioral Health - Springfield Residential Center (bldg B) · doing business as

Authorized official

Ann Bowling
Director
(217) 588-2626

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659525863

Mental Health Centers of Central Illinois's National Provider Identifier is 1659525863, issued on Nov 14, 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.