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COLES COUNTY MENTAL HEALTH ASSOCIATION, INC 1427725522

Overview
Name: COLES COUNTY MENTAL HEALTH ASSOCIATION, INC Specialty: Mental Health Clinic/Center (Including Community Mental Health Center) Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Mental Health (Including Community Mental Health Center). Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: COLES COUNTY MENTAL HEALTH ASSOCIATION, INC,1817 S NEIL ST STE 104,CHAMPAIGN,IL,618207268,US Mailing Address: COLES COUNTY MENTAL HEALTH ASSOCIATION, INC,750 BROADWAY AVE E,MATTOON,IL,619384610,US
Contact #
Practice location phone #: 2172385700 Practice location fax #: 2172385767 Mailing address Phone #: 2172385735 Mailing Address fax #: Authorized official Name/Telephone #:LYNETTE, ASHMORE, EXECUTIVE DIRECTOR 2172385700
Misc
Date NPI was obtained: 08/26/2021 Last data data was updated: 08/26/2021 Insurances:

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