Organization · Type 2 NPI

CTF Illinois

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

NPI number 1699372250 Active

Practice location

1400 Reynolds Dr
Charleston, IL 61920-2411

Call (708) 429-1260 Map

Mailing address

18230 Orland Pkwy
Orland Park, IL 60467-5688

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed

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

Other mental health clinic/center (including community mental health center) providers in Charleston

CTF IllinoisMental Health Clinic/Center (Including Community Mental Health Center) Charleston, IL NPI 1437733979

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NPI record

NPI: 1699372250
Entity type: Organization (Type 2)
Issued: Oct 7, 2020
Last updated: Apr 14, 2021
Status: Active
Subpart: Yes of CTF Illinois

Other names

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CTF Illinois -Reynolds MH · doing business as
CTF Illinois -Reynolds MH · doing business as

Authorized official

Kelli L Cody
Executive Assistant
(708) 429-1260

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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 1699372250

CTF Illinois's National Provider Identifier is 1699372250, issued on Oct 7, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Charleston, IL. The record was last updated on Apr 14, 2021.