NPI | 1194036665 |
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Former Legal Business Name | UNITED METHODIST CHILDREN'S HOME OF SOUTHERN ILLINOIS INC. |
Entity Type | Organization |
Authorized Contact | JOE BERNARD Interim CEO / CFO 618-242-1070 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 5000-IPI-029) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2021-11-10 |