Tazwood Mental Health Center, Inc.
NPI #1356466007 in East Peoria, Illinois
Provider Information
- NPI Number
- 1356466007
- Entity Type
- Organization
- Organization Name
- Tazwood Mental Health Center, Inc.
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jul 12, 2018
Practice Location
- Address
- 111 W. WASHINGTON STREET
- Address 2
- SUITE 230
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611
- Phone
- (309) 694-6462
Authorized Official
- Name
- DAVE WALTER MINGUS, LCPC
- Title
- CEO
- Phone
- (309) 347-5579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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