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Organization
INSTITUTE FOR HUMAN RESOURCES OF LIVINGSTON COUNTY, IL
Active
Organization
INSTITUTE FOR HUMAN RESOURCES OF LIVINGSTON COUNTY, IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY RAE LARKIN (BUSINESS MANAGER)
(815) 844-6109
Entity
Organization
Contact information
Practice address
920 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-6109
(815) 844-3561
Mailing address
PO BOX 768, PONTIAC, IL 61764-0768
(815) 844-6109
(815) 844-3561
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04079
—
IL
Enumeration date
03/20/2006
Last updated
06/27/2024
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