NPI 1003385881
Human Service Center
Practice location
- Address
- 2101 W Willow Knolls Dr, Peoria, IL 61614-1219
- Phone
- (309) 689-3074
- Mailing address
- 600 Fayette St, Peoria, IL 61603-3610
Authorised official
- Name
- Ann Campen
- Title
- Executive Director of Finance
- Phone
- (309) 671-8025
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1003385881
- Entity type
- Organization
- NPI issued
- 21 Nov 2018
- Record last updated
- 6 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.