1402 COCKRELL LLC

SPRINGFIELD, IL
NPI1184590747
Doing Business AsDUAD WELLNESS
Entity TypeOrganization
Authorized ContactSARIAH HOPKINS
Compliance Officer
847-324-3543
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Additional Taxonomies261QM0850X Clinic/Center, Adult Mental Health
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
251S00000X Community/Behavioral Health
Enumeration Date2025-10-13
Last Update Date2025-10-13
Business Address
1402 COCKRELL LLC
4012 COCKRELL LN
SPRINGFIELD, IL 62711-8327
Phone number: 847-324-3543
Mailing Address
1402 COCKRELL LLC
6317 N MONTICELLO AVE
CHICAGO, IL 60659-1209
Phone number: 847-324-3543