NPI 1396876140
Counseling & Family Services
Practice location
- Address
- 330 SW Washington St, Peoria, IL 61602-1417
- Phone
- (309) 676-2400
- Mailing address
- 330 SW Washington St, Peoria, IL 61602-1406
Authorised official
- Name
- Ann R Lading-Ferguson
- Title
- Ceo
- Phone
- (309) 676-2400
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Registry record
- NPI
- 1396876140
- Entity type
- Organization
- NPI issued
- 7 Mar 2007
- Record last updated
- 12 Sep 2018
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.