location
search-icon
institution
West Lake Residential - Building 220
Mental Illness Community Based Residential Treatment Facility in Springfield, Illinois
NPI 1104071125

West Lake Residential - Building 220 is a Mental Illness Community Based Residential Treatment Facility based in Springfield, IL. West Lake Residential - Building 220 practices in Springfield, IL. The NPI Number for West Lake Residential - Building 220 is 1104071125 and holds a License No. (Illinois).

The current practice location address for West Lake Residential - Building 220 is 200 W Lake Dr, Springfield, IL and can be reached out via phone at 217-588-7934 and via fax at 217-529-9803.

Location: 200 W Lake Dr, Springfield, IL, 62703-4956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104071125
Provider Name
West Lake Residential - Building 220
Credential
Provider Entity Type
Organization
Address
200 W Lake Dr, Springfield, IL, 62703-4956
Phone Number
217-588-7934
Fax Number
217-529-9803
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 W Lake Dr
City
Springfield
State
Illinois
Zip
62703-4956
Phone Number
217-588-7934
Fax Number
217-529-9803
person
Provider Business Mailing Address Details
Address
200 W Lake Dr
City
Springfield
State
Illinois
Zip
62703-4956
Phone Number
217-588-7934
Fax Number
217-529-9803
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Illinois)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.