Children's Home Association of Illinois

NPI #1689192486 in Peoria, Illinois

Provider Information

NPI Number: 1689192486
Entity Type: Organization
Organization Name: Children's Home Association of Illinois
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 1, 2017
Last Updated: Sep 1, 2017

Practice Location

Address: 5401 N KNOXVILLE AVE STE 412A
City: Peoria
State: Illinois
ZIP Code: 61614-5021
Phone: (309) 687-7241

Authorized Official

Name: AARON MILLER
Title: BILLING ANALYST
Phone: (309) 687-7241

Specialties & Taxonomy Codes

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

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