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O'fallon Site 014010

O'FALLON SITE 014010 official legal name ILLINOIS MENTOR is located at 791 WALL ST, O Fallon, Illinois. O'FALLON SITE 014010 primary taxonomy is Case Management in the state of Illinois.

Organization Legal NameILLINOIS MENTOR
Organization Other NameO'FALLON SITE 014010
NPI1326376591
CityO Fallon
StateIllinois
Address 1791 WALL ST
Postal Code62269
Phone6186289424
Fax6186289426

Related medical specializations

Taxonomy IDGroupingClassificationSpecialization
251B00000X AgenciesCase Management
253J00000X AgenciesFoster Care Agency
320600000X Residential Treatment FacilitiesResidential Treatment Facility, Mental Retardation and/or Developmental Disabilities

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