Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

West Lake Residential - Building 220

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1104071125

West Lake Residential - Building 220 is a Mental Illness Community Based Residential Treatment Facility in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

200 W Lake Dr Bldg 220
Springfield, IL 62703-4956
Phone: (217) 588-7934
Fax: (217) 529-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X (IL)

Record details

NPI number1104071125
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMental Health Centers of Central Illinois
Authorized official Ann Bowling — Director · (217) 588-2626
NPI enumeratedNovember 18, 2008
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address200 W Lake Dr Bldg 220, Springfield, IL 62703-4956

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