Cunningham Children's Home of Urbana Il

NPI #1821055658 in Urbana, Illinois

Provider Information

NPI Number: 1821055658
Entity Type: Organization
Organization Name: Cunningham Children's Home of Urbana Il
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 26, 2006
Last Updated: Jun 8, 2021

Practice Location

Address: 1301 N CUNNINGHAM AVE
City: Urbana
State: Illinois
ZIP Code: 61802-1830
Phone: (217) 367-3728

Authorized Official

Name: MR. MARLIN LIVINGSTON, MSW
Title: PRESIDENT / C.E.O.
Phone: (217) 367-3728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Voluntary or Charitable	251V00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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