Community Elements, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Champaign, IL. Organization (NPI-2).
NPI number1619124302
StatusActive
Last updated in NPPESSep 24, 2013
Details
- NPI
- 1619124302
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Elements, INC.
- Organization subpart
- Yes
- Enumeration date
- Aug 25, 2008
- Last updated
- Sep 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Walnut Office Location (Other Name)
Practice location
801 N Walnut StChampaign, IL 61820-3055
Phone 217-398-8080
Mailing address
1801 Fox DrChampaign, IL 61820-7236
Phone 217-398-8080
Authorized official
Sheila Ferguson
Chief Exec Officer
2173988080
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All 30 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Champaign · All 3,018 providers in Champaign
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