Illinois Department of Human Services

NPI #1083620827 in Alton, Illinois

Provider Information

NPI Number
1083620827
Entity Type
Organization
Organization Name
Illinois Department of Human Services
Primary Specialty
Psychiatric Hospital
Enumeration Date
Aug 1, 2006
Last Updated
Aug 21, 2018

Practice Location

Address
4500 COLLEGE AVE
City
Alton
ZIP Code
62002
Phone
(618) 474-3800

Authorized Official

Name
TONYA PIEPHOFF
Title
HOSPITAL ADMINISTRATOR
Phone
(618) 474-3473

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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