NPI | 1225361769 |
---|---|
Doing Business As | MEMORIAL BEHAVIORAL HEALTH - SPRINGFIELD RESIDENTIAL CENTER (BLDG A) |
Entity Type | Organization |
Authorized Contact | ANN BOWLING Director 217-588-2626 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2023-10-31 |