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Organization
TAZWOOD MENTAL HEALTH CENTER, INC.
Active
Organization
TAZWOOD MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. MINGUS LCPC, CRADC (CEO)
(309) 347-5522
Entity
Organization
Contact information
Practice address
101 S. MAJOR STREET, EUREKA, IL 61530
(309) 694-6462
(309) 347-4264
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
(309) 347-5522
(309) 347-4264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
07/12/2018
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