Delta Center Inc.
Organization Active NPI Methadone Clinic · Cairo, IL
NPI 1043585581 · NPPES record last updated Mar 16, 2012
Key facts
- NPI
- 1043585581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- License
- 04045 (IL)
- Legal business name
- DELTA CENTER INC.
- Practice address
- 208 12TH St
Cairo, IL 62914-1928 - Phone
- (618) 734-2665
- Fax
- (618) 734-1999
- NPI assigned
- Mar 16, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lisa Tolber
- Title
- Executive Director
- Phone
- (618) 734-2665
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Delta Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 04045 | IL | Yes |
Addresses
Primary practice location
208 12TH St
Cairo, IL 62914-1928
Mailing address
1400 Commercial Ave
Cairo, IL 62914-1978
Phone (618) 734-2665
Other providers in Cairo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.