Whalio Doctors

NPI 1396876140

Counseling & Family Services

Organisation Community/Behavioral Health Agency Peoria, IL

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
Agencies Taxonomy 251S00000X Licence 180-003685 (IL)
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 180-003685 (IL)

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.