Tazwood Mental Health Center, Inc. in Pekin - Rehabilitation, Substance Use Disorder

Tazwood Mental Health Center, Inc. - NPI 1942326186

Tazwood Mental Health Center, Inc. is a Rehabilitation, Substance Use Disorder in Pekin, Illinois. Tazwood Mental Health Center, Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Tazwood Mental Health Center, Inc. is 1942326186. The last update date is 2018-07-12.

Tazwood Mental Health Center, Inc.'s current location address is 3248 Vandever Ave, Pekin, Illinois. You can contact this provider via phone number 3093475522 and fax number 3093474264. The mailing address for Tazwood Mental Health Center, Inc. is 3248 Vandever Ave, Pekin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tazwood Mental Health Center, Inc.
Address 3248 Vandever Ave, Pekin, Illinois
Phone Number 3093475522
Fax Number 3093474264
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Mingus Walter Dave
Credentials LCPC
Telephone Number 3093475579

NPI Number Detail

NPI Number 1942326186
Provider Enumeration Date 2007-03-21
Last Updated Date 2018-07-12

Provider Mailing Address Detail

Address 3248 Vandever Ave
City Pekin
State Illinois (IL)
Post Code 615546257
Phone Number 3093475522
Fax Number 3093474264

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

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FAQs about Tazwood Mental Health Center, Inc.

What is the unique 10-digit identifier code issued to Tazwood Mental Health Center, Inc. by the Centers for Medicare & Medicaid Services?

The Tazwood Mental Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1942326186 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Tazwood Mental Health Center, Inc.'s facilities are geographically located?

The facilities of Tazwood Mental Health Center, Inc. are physically situated at the following location: 3248 Vandever Ave, Pekin, IL, 615546257.

What is Tazwood Mental Health Center, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tazwood Mental Health Center, Inc. is Rehabilitation, Substance Use Disorder, and the taxonomy code that categorizes this field of expertise is 261Qr0405X.

On what date did the Centers for Medicare & Medicaid Services issue the 1942326186 to Tazwood Mental Health Center, Inc.?

The Tazwood Mental Health Center, Inc. received its 1942326186 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.

As of what date were the details pertaining to Tazwood Mental Health Center, Inc. last refreshed?

The information related to the Tazwood Mental Health Center, Inc., including its address, specialty, and other relevant details, was last updated on 2018-07-12.

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