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Organization
CUNNINGHAM CHILDREN'S HOME OF URBANA IL
Active
Organization
CUNNINGHAM CHILDREN'S HOME OF URBANA IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SUZETTE PETERSON (DIRECTOR OF QUALITY IMPROVEMENT)
(217) 367-3728
Entity
Organization
Contact information
Practice address
1303 N. CUNNINGHAM AVENUE, URBANA, IL 61821
(217) 367-3728
(217) 367-2896
Mailing address
1301 N CUNNINGHAM AVE, URBANA, IL 61802-1830
(217) 367-3728
(217) 367-2896
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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