Tazwood Mental Health Center, Inc.

NPI #1629444070 in Canton, Illinois

Provider Information

NPI Number
1629444070
Entity Type
Organization
Organization Name
Tazwood Mental Health Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
TAZWOOD MENTAL HEALTH CENTER, INC.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 19, 2015
Last Updated
Aug 19, 2015

Practice Location

Address
210 W. WALNUT STREET
City
Canton
ZIP Code
61520-2444
Phone
(309) 647-5240

Authorized Official

Name
N BRENDA FRANKLIN
Title
CREDENTIALING SPECIALIST
Phone
(309) 477-5526

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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