LOCUST STREET RESOURCE CENTER NPI 1477286516

NPI Information

NPI: 1477286516
Provider Name: LOCUST STREET RESOURCE CENTER
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
515 W CHERRY ST
CARLINVILLE, IL
ZIP 62626
Phone: (217) 854-3166
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LOCUST STREET RESOURCE CENTER is a community based residential treatment facility mental illness in Carlinville, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LOCUST STREET RESOURCE CENTER NPI is 1477286516. The provider is registered as an organization entity type.

The provider's business location address is:

515 W CHERRY ST
CARLINVILLE, IL
ZIP 62626-632
Phone: (217) 854-3166
Fax: (217) 854-3778

The provider's authorized official is Sally Maguire .
The authorized official title is Credentialing Clerk and has the following contact phone number (217) 854-3166.

The enumeration date for this NPI number is 7/6/2022 and was last updated on 7/6/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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