institution
Children's Home Association Of Illinois
Mental Health Clinic/Center (Including Community Mental Health Center) in Peoria, Illinois
NPI 1689192486

Children's Home Association Of Illinois is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Peoria, IL and is specialized in Mental Health (Including Community Mental Health Center). Children's Home Association Of Illinois practices in Peoria, IL. The NPI Number for Children's Home Association Of Illinois is 1689192486 and holds a License No. 2B05-IPI-130 (Illinois).

The current practice location address for Children's Home Association Of Illinois is 5401 N Knoxville Ave Ste 412A, Peoria, IL and can be reached out via phone at 309-687-7241.

Location: 5401 N Knoxville Ave Ste 412A, Peoria, IL, 61603-2460
institution
Provider Profile Details
NPI Number
1689192486
Provider Name
Children's Home Association Of Illinois
Credential
Provider Entity Type
Organization
Address
5401 N Knoxville Ave Ste 412A, Peoria, IL, 61603-2460
Phone Number
309-687-7241
Fax Number
Provider Enumeration Date
09/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2B05-IPI-130 05 IL
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave Ste 412A
City
State
Zip
61614-5021
Phone Number
309-687-7241
Fax Number
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave Ste 412A
City
State
Zip
61614-5021
Phone Number
309-687-7241
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
2B05-IPI-130 (Illinois)
Definition
Definition to come...
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