Vine Street Clinical Associates, LLC
NPI #1356625966 in Springfield, Illinois
Provider Information
- NPI Number
- 1356625966
- Entity Type
- Organization
- Organization Name
- Vine Street Clinical Associates, LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Sep 30, 2011
- Last Updated
- Sep 30, 2011
Practice Location
- Address
- 3225 HEDLEY RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-6248
- Phone
- (217) 726-7300
Authorized Official
- Name
- J TRAVIS DOWELL
- Title
- VICE PRESIDENT MPS AND OPERATIONS
- Phone
- (217) 788-3342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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