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Locust Street Resource Center Cila #1
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Carlinville, Illinois
NPI 1700330545

Locust Street Resource Center Cila #1 is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Carlinville, IL. Locust Street Resource Center Cila #1 practices in Carlinville, IL. The NPI Number for Locust Street Resource Center Cila #1 is 1700330545 and holds a License No. (Illinois).

The current practice location address for Locust Street Resource Center Cila #1 is 124 W Buchanan St, Carlinville, IL and can be reached out via phone at 217-854-3166 and via fax at 217-854-9729.

Location: 124 W Buchanan St, Carlinville, IL, 62626-1648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700330545
Provider Name
Locust Street Resource Center Cila #1
Credential
Provider Entity Type
Organization
Address
124 W Buchanan St, Carlinville, IL, 62626-1648
Phone Number
217-854-3166
Fax Number
217-854-9729
Provider Enumeration Date
08/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
124 W Buchanan St
City
Carlinville
State
Illinois
Zip
62626-1027
Phone Number
217-854-3166
Fax Number
217-854-9729
person
Provider Business Mailing Address Details
Address
124 W Buchanan St
City
Carlinville
State
Illinois
Zip
62626-1027
Phone Number
217-854-3166
Fax Number
217-854-9729
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.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(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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