Tazwood Mental Health Center, Inc.

NPI #1134464316 in Eureka, Illinois

Provider Information

NPI Number: 1134464316
Entity Type: Organization
Organization Name: Tazwood Mental Health Center, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 29, 2012
Last Updated: Jul 12, 2018

Practice Location

Address: 101 S. MAJOR STREET
City: Eureka
State: Illinois
ZIP Code: 61530
Phone: (309) 694-6462

Authorized Official

Name: MR. DAVID W. MINGUS, LCPC, CRADC
Title: CEO
Phone: (309) 347-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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