Cunningham Children's Home of Urbana Il

NPI #1871378976 in Rantoul, Illinois

Provider Information

NPI Number: 1871378976
Entity Type: Organization
Organization Name: Cunningham Children's Home of Urbana Il
Subpart: Yes (part of a larger organization)
Parent Organization: CUNNINGHAM CHILDREN'S HOME OF URBANA IL
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 28, 2023
Last Updated: Aug 28, 2023

Practice Location

Address: 520 E WABASH AVE STE 1
City: Rantoul
State: Illinois
ZIP Code: 61866-3019
Phone: (217) 531-2360

Authorized Official

Name: MS. SHAWN SUZETTE PETERSON, MA, MSW
Title: DIRECTOR OF QUALITY IMPROVEMENT
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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