NPI 1841504222

Human Service Center

Organisation Mental Illness Community Based Residential Treatment Facility Peoria, IL

Practice location

Address: 405 NE Perry Ave, Peoria, IL 61603-3629
Phone: (309) 671-8005
Mailing address: PO Box 1346 600 Fayette, Peoria, IL 61654-1346

Authorised official

Name: Fred Nirde
Title: President/Ceo
Phone: (309) 671-8000

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1841504222
Entity type: Organization
NPI issued: 28 Jul 2010
Record last updated: 28 Jul 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.