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Good Samaritan House Of Granite City, Inc
Adolescent and Children Mental Health Clinic/Center in Granite City, Illinois
NPI 1134612054

Good Samaritan House Of Granite City, Inc is an Adolescent and Children Mental Health Clinic/Center based in Granite City, IL and is specialized in Adolescent and Children Mental Health. Good Samaritan House Of Granite City, Inc practices in Granite City, IL. The NPI Number for Good Samaritan House Of Granite City, Inc is 1134612054 and holds a License No. 149.019998 (Illinois).

The current practice location address for Good Samaritan House Of Granite City, Inc is 1825 Delmar Ave, Granite City, IL and can be reached out via phone at 618-876-0607.

Location: 1825 Delmar Ave, Granite City, IL, 62040-4508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134612054
Provider Name
Good Samaritan House Of Granite City, Inc
Credential
Provider Entity Type
Organization
Address
1825 Delmar Ave, Granite City, IL, 62040-4508
Phone Number
618-876-0607
Fax Number
Provider Enumeration Date
06/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1825 Delmar Ave
City
Granite City
State
Illinois
Zip
62040-4508
Phone Number
618-876-0607
Fax Number
person
Provider Business Mailing Address Details
Address
1825 Delmar Ave
City
Granite City
State
Illinois
Zip
62040-4508
Phone Number
618-876-0607
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
149.019998 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
149.019998 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
149.019998 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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