1326376591 ILLINOIS MENTOR
Foster Care Agency
Active
Basic Information
- Organization Name
- ILLINOIS MENTOR
- Enumeration Date
- November 30, 2009
- Last Update
- November 30, 2009
- Authorized Official
- VIVIANE NGWA MSW
EXECUTIVE DIRECTOR
Phone: (708) 679-9137
Practice Location
- Address
- 791 WALL ST
O FALLON, IL 622691959 - Phone
- (618) 628-9424
- Fax
- (618) 628-9426
Mailing Address
- Address
- 791 WALL ST
O FALLON, IL 622691959 - Phone
- (618) 628-9424
- Fax
- (618) 628-9426
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Foster Care Agency | 253J00000X | Foster Care Agency | N/A | N/A | Primary |
Frequently Asked Questions
What is ILLINOIS MENTOR's NPI number?
ILLINOIS MENTOR's NPI number is 1326376591.
Which doctor has NPI number 1326376591?
The doctor with NPI number 1326376591 is ILLINOIS MENTOR.
What is ILLINOIS MENTOR's practice address?
ILLINOIS MENTOR's practice address is 791 WALL ST, O FALLON, IL, 622691959.
Which doctor practices at 791 WALL ST, O FALLON, IL, 622691959?
ILLINOIS MENTOR practices at 791 WALL ST, O FALLON, IL, 622691959.
What is ILLINOIS MENTOR's phone number?
ILLINOIS MENTOR's phone number is (618) 628-9424.
Who is (618) 628-9424?
(618) 628-9424 is the phone number for ILLINOIS MENTOR.
What is ILLINOIS MENTOR's specialty?
ILLINOIS MENTOR's specialty is Foster Care Agency.
What type of doctor is ILLINOIS MENTOR?
ILLINOIS MENTOR is a Foster Care Agency.
Is ILLINOIS MENTOR a Foster Care Agency?
Yes, ILLINOIS MENTOR is a Foster Care Agency.
Is ILLINOIS MENTOR still practicing?
Yes, ILLINOIS MENTOR is currently practicing.
Is ILLINOIS MENTOR accepting new patients?
ILLINOIS MENTOR may be accepting new patients. Please call their office at (618) 628-9424 to inquire about availability.
Is NPI 1326376591 still active?
Yes, NPI 1326376591 is currently active.
Where does ILLINOIS MENTOR practice?
ILLINOIS MENTOR practices in O FALLON, IL.