WEST LAKE RESIDENTIAL - BUILDING 220

Community Based Residential Treatment Facility, Mental Illness

Active Organization
NPI: 1104071125

Practice Address

200 W LAKE DR
BUILDING 220
Springfield, IL 62703

Phone: (217) 588-7934

Specialties

Specialty Code Primary License
Community Based Residential Treatment Facility, Mental Illness 320800000X Yes -

Frequently Asked Questions

NPI 1104071125 is the National Provider Identifier for WEST LAKE RESIDENTIAL - BUILDING 220, a Community Based Residential Treatment Facility, Mental Illness provider located in Springfield, IL. This NPI was enumerated on November 18, 2008.

Quick Facts

NPI
1104071125
Type
Organization
Enumerated
Nov 18, 2008
Last Updated
Oct 31, 2023

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