NPI 1134355092

Children's Home Association of Illinois

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Peoria, IL

Practice location

Address: 613 E. Frye, Peoria, IL 61603
Phone: (309) 687-7102
Mailing address: 2130 N. Knoxville Ave, Peoria, IL 61603

Authorised official

Name: Julie Siebert
Title: Director of Compliance
Phone: (309) 687-7440

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Registry record

NPI: 1134355092
Entity type: Organization
NPI issued: 5 Jun 2009
Record last updated: 11 Apr 2025

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.