WEST LAKE RESIDENTIAL - BUILDING 220 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. WEST LAKE RESIDENTIAL - BUILDING 220 NPI is 1104071125. The provider is registered as an organization entity type.
The provider's business location address is:
200 W LAKE DR
BUILDING 220
SPRINGFIELD, IL
ZIP 62703-956
Phone: (217) 588-7934
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 enumeration date for this NPI number is 11/18/2008 and was last updated on 10/31/2023.