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Organization
TAZWOOD MENTAL HEALTH CENTER, INC.
Active
Organization
TAZWOOD MENTAL HEALTH CENTER, INC.
Active
Other names
Tazwood Center for Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MINGUS LCPC, CRADC (CEO)
(309) 347-5579
Entity
Organization
Contact information
Practice address
124 S CHICAGO ST, LINCOLN, IL 62656-2719
(217) 732-6865
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
(309) 477-5552
(309) 347-4264
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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