Locust Street Resource Center
NPI #1558456210 in Carlinville, Illinois
Provider Information
- NPI Number
- 1558456210
- Entity Type
- Organization
- Organization Name
- Locust Street Resource Center
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Oct 24, 2024
Practice Location
- Address
- 320 SOUTH LOCUST STREET
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626
- Phone
- (217) 854-3166
Authorized Official
- Name
- MRS. MARIA CLARK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (217) 854-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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