Organization Name: | CENTER FOR CHILDREN'S SERVICES |
NPI Number: | 1013162304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRAN ALLISON GREEN (CONTROLLER) |
Mailing Address: | 611 Oak St Danville |
State: | IL US |
Postal Code: | 618323943 |
Phone Number: | 2174468060 |
Fax Number: | 2174777018 |
NPI Enumeration Date: | 12/01/2008 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 04020 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |