Locust Street Resource Center
NPI #1245524677 in Carlinville, Illinois
Provider Information
- NPI Number
- 1245524677
- Entity Type
- Organization
- Organization Name
- Locust Street Resource Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LOCUST STREET RESOURCE CENTER
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 2, 2011
- Last Updated
- Apr 22, 2025
Practice Location
- Address
- 354 N PLUM ST
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626-1316
- Phone
- (217) 854-3166
Authorized Official
- Name
- MRS. MARIA CLARK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (217) 854-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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