OrganizationActive
Adapt of Illinois, Inc.
NPI 1164714721 · Mental Health Clinic/Center (Including Community Mental Health Center) · Belleville, IL
Provider details
- NPI number
- 1164714721
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Adapt of America
- Organization subpart
- Yes
- Authorized official
- Cynthia Janicak, Revenue Cycle Manager(877) 553-9440
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2600 West Blvd
Belleville, IL 62221-5605
Phone: (877) 553-9440
Fax: (618) 235-2493
Approximate (ZIP-level) locationGet directions
Mailing address
2600 West Blvd
Belleville, IL 62221-5605
Registry dates
- Enumerated
- 2011-05-13
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.