CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPEMENT NPI 1164612065

NPI Information

  • NPI: 1164612065
  • Provider Name: CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPEMENT
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 353 N 88TH ST
    HIGHWAY 157 SOUTH
    CENTREVILLE, IL
    ZIP 62203
  • Phone: (618) 398-1152

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NPI Details

CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPEMENT is a mental health (including community mental health center) clinic center in Centreville, IL. CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPEMENT NPI is 1164612065. The provider is registered as an organization entity type.

The provider's business location address is:

353 N 88TH ST
HIGHWAY 157 SOUTH
CENTREVILLE, IL
ZIP 62203-705
Phone: (618) 398-1152
Fax: (618) 398-6977

The provider's authorized official is Raymond C. Amrhein .
The authorized official title is Business Manager and has the following contact phone number (618) 398-1152.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)ILLINOISYes

What is NPI?

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This page was last updated on: 3/30/2025

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