NPI 1629379359

Peoria County Court Administration

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Peoria, IL

Practice location

Address: 324 Main St STE 215, Peoria, IL 61602-2334
Phone: (309) 677-6230
Fax: (309) 672-6957

Authorised official

Name: Randy J. Barton
Title: Assistant Court Administrator
Phone: (309) 677-6230

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1629379359
Entity type: Organization
NPI issued: 11 Nov 2010
Record last updated: 11 Nov 2010

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.