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Community Elements INC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Champaign, IL. Organization (NPI-2).

NPI number1831167337
StatusActive
Last updated in NPPESAug 28, 2013

Details

NPI
1831167337
Entity type
Organization (NPI-2)
Legal business name
Community Elements INC
Organization subpart
No
Enumeration date
Mar 9, 2006
Last updated
Aug 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1801 Fox Dr
Champaign, IL 61820-7236

Phone 217-398-8080

Mailing address

1801 Fox Dr
Champaign, IL 61820-7236

Phone 217-398-8080

Authorized official

Sheila Ferguson
Chief Executive Officer
2173988080

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