Balanced Care Mental Health Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Springfield, IL. Organization (NPI-2).
NPI number1164661971
StatusActive
Last updated in NPPESFeb 18, 2009
Details
- NPI
- 1164661971
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Care Mental Health Services
- Organization subpart
- No
- Enumeration date
- Feb 18, 2009
- Last updated
- Feb 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1945 S Spring StSpringfield, IL 62704-3943
Phone 217-492-2000 · Fax 217-492-2005
Mailing address
1945 S Spring StSpringfield, IL 62704-3943
Phone 217-492-2000 · Fax 217-492-2005
Authorized official
Patrick G O'Donnell
Owner
2174922000
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