Whalio Doctors

NPI 1396299665

Prairie Center Health Systems

Organisation Substance Abuse Rehabilitation Facility Champaign, IL

Practice location

Address
122 W Hill St, Champaign, IL 61820-3519
Phone
(217) 356-7576
Fax
(217) 356-6571
Mailing address
718 W Killarney St, Urbana, IL 61801-1015

Authorised official

Name
Gail Raney
Title
Ceo
Phone
(217) 693-3021

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence A06060002A (IL)

Registry record

NPI
1396299665
Entity type
Organization
NPI issued
4 Aug 2016
Record last updated
4 Aug 2016

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.