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1063005288
SPRINGHEALTH BEHAVIORAL HEALTH AND INTEGRATED CARE ILLINOIS, LLC
SPRINGFIELD, IL
NPI
1063005288
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Entity Type
Organization
Authorized Contact
ANGIE MATTINGLY
Mgr Provider Enrollment
502-630-7425
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-02-18
Last Update Date
2022-03-16
Business Address
SPRINGHEALTH BEHAVIORAL HEALTH AND INTEGRATED CARE ILLINOIS, LLC
3921 PINTAIL DR STE B
SPRINGFIELD, IL 62711-6738
Phone number: 217-843-0290
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Mailing Address
SPRINGHEALTH BEHAVIORAL HEALTH AND INTEGRATED CARE ILLINOIS, LLC
805 N WHITTINGTON PKWY
LOUISVILLE, KY 40222-7101
Phone number: 502-394-2100
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