Tazwood Mental Health Center, Inc.

NPI #1629247366 in Pekin, Illinois

Provider Information

NPI Number
1629247366
Entity Type
Organization
Organization Name
Tazwood Mental Health Center, Inc.
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Feb 27, 2008
Last Updated
Jul 12, 2018

Practice Location

Address
1423 VALLE VISTA BLVD
City
Pekin
ZIP Code
61554
Phone
(309) 347-5579

Authorized Official

Name
DAVE WALTER MINGUS, LCPC
Title
CEO
Phone
(309) 347-5579

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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