Organization Name: | CENTERSTONE |
NPI Number: | 1073829941 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACY PHILLIPS (BILLING MANAGER) |
Mailing Address: | 902 W Main St West Frankfort |
State: | IL US |
Postal Code: | 628962210 |
Phone Number: | 6189376483 |
Fax Number: | 6189371440 |
NPI Enumeration Date: | 08/30/2010 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |