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Children'S Home Association Of Illinois

Community/Behavioral Health in Peoria, IL. Organization (NPI-2).

NPI number1740632546
StatusActive
Last updated in NPPESJul 11, 2016

Details

NPI
1740632546
Entity type
Organization (NPI-2)
Legal business name
Children'S Home Association Of Illinois
Organization subpart
No
Enumeration date
Jul 6, 2016
Last updated
Jul 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health004259-13ILYes

Practice location

2011 N Knoxville Ave
Peoria, IL 61603-2414

Phone 309-685-1047 · Fax 309-687-7299

Mailing address

2130 N Knoxville Ave
Peoria, IL 61603-2460

Phone 309-685-1047 · Fax 309-687-7299

Authorized official

Matt George
Ceo
3096877218

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