NPI 1184892457
Mental Health Center
Practice location
- Address
- 202 W Park Ave, Champaign, IL 61820-3929
- Phone
- (217) 373-2436
Authorised official
- Name
- Shelia Ferguson
- Title
- Ceo
- Phone
- (217) 373-2436
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1184892457
- Entity type
- Organization
- NPI issued
- 20 Feb 2008
- Record last updated
- 20 Feb 2008
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.