MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS NPI 1023263043

NPI Information

MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS is a community based residential treatment facility mental illness in Springfield, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS NPI is 1023263043. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Behavioral Health - Springfield Residential Center (bldg C).

The provider's business location address is:

200 W LAKE DR
BUILDING C
SPRINGFIELD, IL
ZIP 62703-956
Phone: (217) 588-7932
Fax: (217) 529-9803

The provider's authorized official is Ann Bowling .
The authorized official title is Director and has the following contact phone number (217) 588-2626.

The CLIA number assigned to this NPI record is 14D1102655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2008 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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