DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WEBSTER-CANTRELL HALL

MEDICARE: WEBSTER-CANTRELL HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility021746-10IL

General Provider Information

NPI Number : 1689633828
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEBSTER-CANTRELL HALL
Provider Business Mailing Address
First Line : 1942 E CANTRELL ST
Second Line :
City : DECATUR
State : IL
Zip : 62521-3214
Country : US
Telephone Number : 217-423-6961
Fax Number : 217-421-6889
Provider Business Practice Location Address
First Line : 1942 E CANTRELL ST
Second Line :
City : DECATUR
State : IL
Zip : 62521-3214
Country : US
Telephone Number : 217-423-6961
Fax Number : 217-421-6889
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. MARTIN S HARRIS
Credential :
Telephone Number : 217-423-6961
Provider Enumeration Date : 03/17/2006
Last Update Date : 03/24/2016

Similar Medicare Providers

1366954489 — MRS. DENISE BEECHING ALMFT
Practice Location Address:
1942 E CANTRELL ST
DECATUR, IL
62521-3214
Practice Phone: 217-423-6961
Practice Fax:
1831526425 — AIMEE J CRASK MS, LCPC
Practice Location Address:
1942 E CANTRELL ST
DECATUR, IL
62521-3214
Practice Phone: 217-423-6961
Practice Fax:
1578990842 — MS. CHRISTIANA MARIE HOPPER LCPC
Practice Location Address:
1942 E CANTRELL ST
DECATUR, IL
62521-3214
Practice Phone: 217-433-6961
Practice Fax:
1528421203 — PETER HOPKINS
Practice Location Address:
1942 E CANTRELL ST
DECATUR, IL
62521-3214
Practice Phone: 217-423-6961
Practice Fax:
1841830429 — WEBSTER CANTRELL YOUTH ADVOCACY
Practice Location Address:
1942 E CANTRELL ST
DECATUR, IL
62521-3214
Practice Phone: 217-423-6961
Practice Fax: 217-421-6889
1275124687 — SHELBY GERALDS
Practice Location Address:
1942 E CANTRELL ST
DECATUR, IL
62521-3214
Practice Phone: 217-233-6811
Practice Fax:

Directions to “WEBSTER-CANTRELL HALL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.