Promise Healthcare
Counselor, Mental Health in Champaign, IL. Organization (NPI-2).
NPI number1093571663
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1093571663
- Entity type
- Organization (NPI-2)
- Legal business name
- Promise Healthcare
- Organization subpart
- No
- Enumeration date
- Feb 22, 2024
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
819 Bloomington RdChampaign, IL 61820-2101
Phone 217-356-1558
Mailing address
819 Bloomington RdChampaign, IL 61820-2101
Phone 217-356-1558
Authorized official
James Hamilton
Director Of Behavioral Health
2173561558
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