Tazwood Mental Health Center, Inc.

NPI #1760958797 in Lincoln, Illinois

Provider Information

NPI Number: 1760958797
Entity Type: Organization
Organization Name: Tazwood Mental Health Center, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 17, 2018
Last Updated: Oct 17, 2018

Practice Location

Address: 124 S CHICAGO ST
City: Lincoln
State: Illinois
ZIP Code: 62656-2719
Phone: (217) 732-6865

Authorized Official

Name: DAVID MINGUS, LCPC, CRADC
Title: CEO
Phone: (309) 347-5579

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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