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CHILDREN'S HOME & AID SOCIETY OF IL NPI 1134311038


NPI Information

NPI: 1134311038
Provider Name: CHILDREN'S HOME & AID SOCIETY OF IL
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2133 JOHNSON RD
GRANITE CITY, IL
ZIP 62040
Phone: (618) 452-8900
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CHILDREN'S HOME & AID SOCIETY OF IL is a mental health (including community mental health center) clinic center in Granite City, IL. CHILDREN'S HOME & AID SOCIETY OF IL NPI is 1134311038. The provider is registered as an organization entity type.

The provider's business location address is:

2133 JOHNSON RD
GRANITE CITY, IL
ZIP 62040-986
Phone: (618) 452-8900
Fax: (618) 452-9062

The provider's authorized official is Terry J Peek .
The authorized official title is Regional Executive Vice President and has the following contact phone number (618) 452-8900.

The enumeration date for this NPI number is 8/14/2007 and was last updated on 8/14/2007.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)004236-11ILLINOISYes

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: 11/14/2023

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