Camelot Care Centers, LLC

NPI #1700149051 in Peoria, Illinois

Provider Information

NPI Number
1700149051
Entity Type
Organization
Organization Name
Camelot Care Centers, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Jun 21, 2012
Last Updated
Jun 4, 2020

Practice Location

Address
2396 W NEBRASKA AVE
City
Peoria
ZIP Code
61604-3111
Phone
(309) 676-6305

Authorized Official

Name
MRS. RONICA PATEL
Title
STATE EXECUTIVE DIRECTOR
Phone
(630) 773-1985

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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