institution
Children's Home Association Of Illinois
Substance Use Disorder Rehabilitation Clinic/Center in Peoria, Illinois
NPI 1932633427

Children's Home Association Of Illinois is a Substance Use Disorder Rehabilitation Clinic/Center based in Peoria, IL and is specialized in Rehabilitation, Substance Use Disorder. Children's Home Association Of Illinois practices in Peoria, IL. The NPI Number for Children's Home Association Of Illinois is 1932633427 and holds a License No. (Illinois).

The current practice location address for Children's Home Association Of Illinois is 404 Ne Madison Ave, Peoria, IL and can be reached out via phone at 309-685-1047 and via fax at 309-687-7299.

Location: 404 Ne Madison Ave, Peoria, IL, 61603-2460
institution
Provider Profile Details
NPI Number
1932633427
Provider Name
Children's Home Association Of Illinois
Credential
Provider Entity Type
Organization
Address
404 Ne Madison Ave, Peoria, IL, 61603-2460
Phone Number
309-685-1047
Fax Number
309-687-7299
Provider Enumeration Date
04/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2B05-IPI-130 05 IL
A-6162-0002-A 05 IL
institution
Provider Business Practice Location Address Details
Address
404 Ne Madison Ave
City
State
Zip
61603-3720
Phone Number
309-685-1047
Fax Number
309-687-7299
person
Provider Business Mailing Address Details
Address
404 Ne Madison Ave
City
State
Zip
61603-3720
Phone Number
309-685-1047
Fax Number
309-687-7299
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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