NPI 1639666928

Children's Home Association of Illinois

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Peoria, IL

Practice location

Address: 7225 W Plank Rd, Peoria, IL 61604-5252
Phone: (309) 685-1047
Fax: (309) 687-6615

Authorised official

Name: Aaron Miller
Title: Billing Analyst
Phone: (309) 687-7241

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 2B05-IPI-130 (IL)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Illinois →

Registry record

NPI: 1639666928
Entity type: Organization
NPI issued: 23 Apr 2018
Record last updated: 23 Apr 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.