NPI Lookup
NPPES Search
Providers by State
Blog
Home
1457661571
MATTHEW THOMAS BECKER
MOUNT CARROLL, IL
NPI
1457661571
Copy
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2010-10-08
Last Update Date
2010-10-08
Business Address
Mr. MATTHEW THOMAS BECKER B.A.
1126 HEALTHCARE DR
MOUNT CARROLL, IL 61053-1469
Phone number: 184-524-4200
Copy
Mailing Address
Mr. MATTHEW THOMAS BECKER B.A.
616 PALMYRA ST
DIXON, IL 61021-1956
Phone number:
Copy