Delta Center, Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Mounds, IL
NPI 1972805919 · NPPES record last updated Nov 24, 2010
Key facts
- NPI
- 1972805919
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 094500030 (IL)
- Legal business name
- DELTA CENTER, INC
- Practice address
- 130 Richland Ter
Mounds, IL 62964-1233 - Phone
- (618) 734-2665
- Fax
- (618) 734-1999
- NPI assigned
- Nov 24, 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
130 Richland Ter
Mounds, IL 62964
Phone (618) 734-2665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 094500030 | IL | Yes |
Addresses
Primary practice location
130 Richland Ter
Mounds, IL 62964-1233
Mailing address
130 Richland Ter
Mounds, IL 62964-1233
Phone (618) 734-2665
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- Dixon Chiropractic Center, PC
- Dewey G Dixon Jr.
- Gordon D Holden
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All providers in Mounds, 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 24, 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.