Delta Center, Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Cairo, IL
NPI 1366744211 · NPPES record last updated Nov 29, 2010
Key facts
- NPI
- 1366744211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 04045 (IL)
- Legal business name
- DELTA CENTER, INC
- Practice address
- 421 30TH St
Cairo, IL 62914-1344 - Phone
- (618) 734-2665
- Fax
- (618) 734-1999
- NPI assigned
- Nov 29, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lisa Tolbert
- Title
- Executive Director
- Phone
- (618) 734-2665
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Delta Center Inc
Locations
421 30th St
Cairo, IL 62914
Phone (618) 734-2665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 04045 | IL | Yes |
Addresses
Primary practice location
421 30TH St
Cairo, IL 62914-1344
Mailing address
1400 Commercial Ave
Cairo, IL 62914-1978
Phone (618) 734-2665
Other providers in Cairo, IL
- Samantha Dean
- Delta Center Inc
- Delta Center Inc
- Delta Center Inc.
- Delta Center, Inc
- Delta Center, Inc
- Delta Center, Inc
- Delta Center, Inc.
- Marcella Fullilove
- Kara Goodman
All providers in Cairo, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2010. 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.