Organization · Type 2 NPI

Tazwood Mental Health Center, Inc.

Community/Behavioral Health Agency · Canton, IL

NPI number 1629444070 Active

Practice location

210 W. Walnut Street
Canton, IL 61520-2444

Call (309) 647-5240 Map

Mailing address

210 W Walnut St
Canton, IL 61520-2444

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	04132 (IL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

NPI record

NPI: 1629444070
Entity type: Organization (Type 2)
Issued: Aug 19, 2015
Last updated: Aug 19, 2015
Status: Active
Subpart: Yes of Tazwood Mental Health Center, Inc.

Other names

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Tazwood Center for Wellness · doing business as

Authorized official

N Brenda Franklin
Credentialing Specialist
(309) 477-5526

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629444070

Tazwood Mental Health Center, Inc.'s National Provider Identifier is 1629444070, issued on Aug 19, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Canton, IL. The record was last updated on Aug 19, 2015.