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LOCUST STREET RESOURCE CENTER CILA #1

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

NPI: 1700330545Organization

Specialties, Licenses & Credentials

Mental Health Clinic/Center (Including Community Mental Health Center)

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

Contact & Hours

Address
124 W BUCHANAN ST
CARLINVILLE, IL 62626

Quick Facts

NPI
1700330545
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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