institution
Supported Residential
Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, Illinois
NPI 1578266342

Supported Residential is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Bloomington, IL and is specialized in Mental Health (Including Community Mental Health Center). Supported Residential practices in Bloomington, IL. The NPI Number for Supported Residential is 1578266342 and holds a License No. (Illinois).

The current practice location address for Supported Residential is 710 W Mulberry St, Bloomington, IL and can be reached out via phone at 309-827-0067.

Location: 710 W Mulberry St, Bloomington, IL, 61701-2868
institution
Provider Profile Details
NPI Number
1578266342
Provider Name
Supported Residential
Credential
Provider Entity Type
Organization
Address
710 W Mulberry St, Bloomington, IL, 61701-2868
Phone Number
309-827-0067
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
710 W Mulberry St
City
State
Zip
61701-2868
Phone Number
309-827-0067
Fax Number
person
Provider Business Mailing Address Details
Address
710 W Mulberry St
City
State
Zip
61701-2868
Phone Number
309-827-0067
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
License No.
()
Definition
Definition to come...
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