Organization · Type 2 NPI

Peoria County Court Administration

Emotionally Disturbed Childrens' Residential Treatment Facility · Peoria, IL

NPI number 1629379359 Active

Practice location

324 Main St Ste 215
Peoria, IL 61602-2334

Fax (309) 672-6957

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1629379359

Peoria County Court Administration's National Provider Identifier is 1629379359, issued on Nov 11, 2010. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Peoria, IL. The record was last updated on Nov 11, 2010.