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Hazel Bland Promise Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in East Saint Louis, Illinois
NPI 1235580564

Hazel Bland Promise Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in East Saint Louis, IL. Hazel Bland Promise Center practices in East Saint Louis, IL. The NPI Number for Hazel Bland Promise Center is 1235580564 and holds a License No. 199200170S (Illinois).

The current practice location address for Hazel Bland Promise Center is 2900 State St, East Saint Louis, IL and can be reached out via phone at 618-274-3500.

Location: 2900 State St, East Saint Louis, IL, 62205-2234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235580564
Provider Name
Hazel Bland Promise Center
Credential
Provider Entity Type
Organization
Address
2900 State St, East Saint Louis, IL, 62205-2234
Phone Number
618-274-3500
Fax Number
Provider Enumeration Date
06/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2900 State St
City
East Saint Louis
State
Illinois
Zip
62205-2234
Phone Number
618-274-3500
Fax Number
person
Provider Business Mailing Address Details
Address
2900 State St
City
East Saint Louis
State
Illinois
Zip
62205-2234
Phone Number
618-274-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
199200170S (Illinois)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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