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Amygdala Co
Rural Health Clinic/Center in Belleville, Illinois
NPI 1841944980

Amygdala Co is a Rural Health Clinic/Center based in Belleville, IL and is specialized in Rural Health. Amygdala Co practices in Belleville, IL. The NPI Number for Amygdala Co is 1841944980 and holds a License No. (Illinois).

The current practice location address for Amygdala Co is 110 N High St Ste 3, Belleville, IL and can be reached out via phone at 314-518-7967.

Location: 110 N High St Ste 3, Belleville, IL, 62220-1436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841944980
Provider Name
Amygdala Co
Credential
Provider Entity Type
Organization
Address
110 N High St Ste 3, Belleville, IL, 62220-1436
Phone Number
314-518-7967
Fax Number
Provider Enumeration Date
02/08/2022
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1477171528 01 IL OTHER NPI
institution
Provider Business Practice Location Address Details
Address
110 N High St Ste 3
City
Belleville
State
Illinois
Zip
62220-1436
Phone Number
314-518-7967
Fax Number
person
Provider Business Mailing Address Details
Address
110 N High St Ste 3
City
Belleville
State
Illinois
Zip
62220-1436
Phone Number
314-518-7967
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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