CENTERSTONE OF ILLINOIS INC NPI 1255647129

NPI Information

CENTERSTONE OF ILLINOIS, INC is a mental health (including community mental health center) clinic center in Benton, IL. CENTERSTONE OF ILLINOIS, INC NPI is 1255647129. The provider is registered as an organization entity type.
The provider Other Name Is West City.

The provider's business location address is:

409 SOUTH GEORGE STREET
BENTON, IL
ZIP 62812
Phone: (618) 937-6483
Fax: (618) 937-1440

The provider's authorized official is Stacy Phillips .
The authorized official title is Billing Manager and has the following contact phone number (618) 937-6483.

The CLIA number assigned to this NPI record is 14D2071387 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 3/26/2021.

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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