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CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION NPI 1093036048


NPI Information

NPI: 1093036048
Provider Name: CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 14D2213994

Address:
707 MCADAM DR
TAYLORVILLE, IL
ZIP 62568
Phone: (217) 824-9675
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CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION is a community behavioral health in Taylorville, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION NPI is 1093036048. The provider is registered as an organization entity type.

The provider's business location address is:

707 MCADAM DR
TAYLORVILLE, IL
ZIP 62568-438
Phone: (217) 824-9675
Fax: (217) 824-3070

The provider's authorized official is Becky A Carroll .
The authorized official title is Records Clerk and has the following contact phone number (217) 824-4905.

The CLIA number assigned to this NPI record is 14D2213994 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2010 and was last updated on 6/14/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.