MARION IL PRRTP (2028) INSTITUTION (4)

Name	Value
NAME	MARION IL PRRTP
STATE	ILLINOIS
STREET ADDR. 1	2401 W. MAIN STREET
CITY	MARION
ZIP	62959-1188
OFFICIAL VA NAME	MARION PSYCHOSOCIAL RESIDENTIAL REHABILITATION TREATMENT PROGRAM
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: MARION IL VAMC
BILLING FACILITY NAME	MARION VA CARE SITE
EFFECTIVE DATE/TIME	2015-09-01 00:00:00 STATUS: ACTIVE NPI: 1962862342
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	657PC
HISTORY	EFFECTIVE DATE: 2001-07-01 00:00:00 REALIGNED FROM: ZZ MARION PRRTP
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 657PC