Camelot Care Centers, INC

NPI #1780913756 in Peoria, Illinois

Provider Information

NPI Number
1780913756
Entity Type
Organization
Organization Name
Camelot Care Centers, INC
Subpart
Yes (part of a larger organization)
Parent Organization
CAMELOT CARE CENTERS, INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 21, 2009
Last Updated
Dec 21, 2009

Practice Location

Address
5901 N PROSPECT RD STE 101
City
Peoria
ZIP Code
61614-4395
Phone
(309) 692-1095

Authorized Official

Name
MR. JASON KEELER
Title
STATE DIRECTOR
Phone
(630) 773-1985

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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