NPI | 1013401322 |
---|---|
Doing Business As | MEMORIAL BEHAVIORAL HEALTH - JACKSONVILLE |
Entity Type | Organization |
Authorized Contact | ANN BOWLING Director 217-588-2626 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-06-20 |
Last Update Date | 2023-10-31 |