Organization · Type 2 NPI

Children's Home Association of Illinois

Mental Health Clinic/Center (Including Community Mental Health Center) · Peoria, IL

NPI number 1689192486 Active

Practice location

5401 N Knoxville Ave Ste 412A
Peoria, IL 61614-5021

Mailing address

2130 N Knoxville Ave
Peoria, IL 61603-2460

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X2B05-IPI-130 (IL)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1689192486

Children's Home Association of Illinois's National Provider Identifier is 1689192486, issued on Sep 1, 2017. 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 Sep 1, 2017.