NPI 1013245448

Human Service Center

Organisation Community/Behavioral Health Agency Peoria, IL

Practice location

Address: 1005 NE Jefferson Ave, Peoria, IL 61603-4064
Phone: (309) 671-8005
Mailing address: 600 Fayette St PO Box 1346, Peoria, IL 61603-3610

Authorised official

Name: Gerd B Prewett
Title: Vp & Cfo
Phone: (309) 671-8005

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 320013 (IL)

Other Community/Behavioral Health providers in Illinois →

Registry record

NPI: 1013245448
Entity type: Organization
NPI issued: 23 Nov 2009
Record last updated: 23 Nov 2009

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.