PEORIA COUNTY COURT ADMINISTRATION NPI 1629379359

NPI Information

PEORIA COUNTY COURT ADMINISTRATION is a residential treatment facility emotionally disturbed children in Peoria, IL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. PEORIA COUNTY COURT ADMINISTRATION NPI is 1629379359. The provider is registered as an organization entity type.

The provider's business location address is:

324 MAIN ST STE 215
PEORIA, IL
ZIP 61602-334
Phone: (309) 677-6230
Fax: (309) 672-6957

The provider's authorized official is Randy J. Barton .
The authorized official title is Assistant Court Administrator and has the following contact phone number (309) 677-6230.

The enumeration date for this NPI number is 11/11/2010 and was last updated on 11/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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