CENTRAL ILLINOIS FRIENDS OF PWA, INC. is a community behavioral health in Peoria, 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. CENTRAL ILLINOIS FRIENDS OF PWA, INC. NPI is 1447866900. The provider is registered as an organization entity type.
The provider's business location address is:
120 NE GLEN OAK AVE STE 201
PEORIA, IL
ZIP 61603-315
Phone: (309) 671-2144
Fax: (309) 671-5108
The provider's authorized official is Deric Kimler .
The authorized official title is Executive Director and has the following contact phone number (309) 671-2144.
The CLIA number assigned to this NPI record is 14D2045437 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/21/2020 and was last updated on 9/21/2020.