Organization · Type 2 NPI

Cunningham Children's Home of Urbana Il

Emotionally Disturbed Childrens' Residential Treatment Facility · Urbana, IL

NPI number 1831683382 Active

Practice location

1301 N Cunningham Ave
Urbana, IL 61802-1830

Fax (217) 367-2896

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.

6 other providers at this address

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NPI record

NPI: 1831683382
Entity type: Organization (Type 2)
Issued: Jun 19, 2018
Last updated: Jun 19, 2018
Status: Active

Other names

<unavail>
Goodman (building/program) · other name
Goodman (building/program) · other name

Authorized official

Shawn Suzette Peterson
Director of Quality Improvement
(217) 367-3728

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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 1831683382

Cunningham Children's Home of Urbana Il's National Provider Identifier is 1831683382, issued on Jun 19, 2018. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Urbana, IL. The record was last updated on Jun 19, 2018.