Tazwood Mental Health Center, Inc. in Pekin - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Tazwood Mental Health Center, Inc. - NPI 1629247366
Tazwood Mental Health Center, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Pekin, Illinois. Tazwood Mental Health Center, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Tazwood Mental Health Center, Inc. is 1629247366. The last update date is 2018-07-12.
Tazwood Mental Health Center, Inc.'s current location address is 1423 Valle Vista Blvd, Pekin, Illinois. You can contact this provider via phone number 3093475579 and fax number 3093474264. The mailing address for Tazwood Mental Health Center, Inc. is 1423 Valle Vista Blvd, Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Tazwood Mental Health Center, Inc. |
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Address | 1423 Valle Vista Blvd, Pekin, Illinois |
Phone Number | 3093475579 |
Fax Number | 3093474264 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Mingus Walter Dave |
Credentials | LCPC |
Telephone Number | 3093475579 |
NPI Number Detail
NPI Number | 1629247366 |
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Provider Enumeration Date | 2008-02-27 |
Last Updated Date | 2018-07-12 |
Provider Mailing Address Detail
Address | 1423 Valle Vista Blvd |
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City | Pekin |
State | Illinois (IL) |
Post Code | 61554 |
Phone Number | 3093475579 |
Fax Number | 3093474264 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tazwood Mental Health Center, Inc.?
The Tazwood Mental Health Center, Inc. has been issued the NPI (National Provider Identifier) 1629247366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tazwood Mental Health Center, Inc.?
The Tazwood Mental Health Center, Inc. is physically situated at 1423 Valle Vista Blvd, in the city of Pekin, state of IL, with the postal code 61554.
What is Tazwood Mental Health Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tazwood Mental Health Center, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date was the 1629247366 assigned to Tazwood Mental Health Center, Inc.?
The Tazwood Mental Health Center, Inc. was issued its 1629247366 on 2008-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tazwood Mental Health Center, Inc. most recently updated or refreshed?
The details pertaining to the Tazwood Mental Health Center, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2018-07-12.