Organization · Type 2 NPI
Human Service Center
Mental Health Clinic/Center (Including Community Mental Health Center) · Peoria, IL
NPI number
1578876074
Active
Practice location
3300 W New Leaf Ln
Peoria, IL 61615-3477
Mailing address
PO Box 1346, 600 Fayette
Peoria, IL 61654-1346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1578876074
Human Service Center's National Provider Identifier is 1578876074, issued on Jul 26, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Peoria, IL. The record was last updated on Jun 10, 2024.