Locust Street Resource Center
NPI #1477286516 in Carlinville, Illinois
Provider Information
- NPI Number
- 1477286516
- Entity Type
- Organization
- Organization Name
- Locust Street Resource Center
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jul 6, 2022
- Last Updated
- Oct 24, 2024
Practice Location
- Address
- 515 W CHERRY ST
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626-1632
- Phone
- (217) 854-3166
Authorized Official
- Name
- ELIZABETH SCHERER
- Title
- BILLING/CREDENTIALING
- Phone
- (217) 854-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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