# CUNNINGHAM CHILDREN'S HOME OF URBANA IL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodman (Building/Program)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831683382
- **Authorized official:** SHAWN SUZETTE PETERSON (DIRECTOR OF QUALITY IMPROVEMENT)
- **Authorized official phone:** (217) 367-3728

## Contact information

- **Practice address:** 1301 N CUNNINGHAM AVE, URBANA, IL 61802-1830
- **Practice address phone:** (217) 367-3728
- **Practice address fax:** (217) 367-2896
- **Mailing address:** 1301 N CUNNINGHAM AVE, URBANA, IL 61802-1830
- **Mailing address phone:** (217) 367-3728
- **Mailing address fax:** (217) 367-2896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2018
- **Last updated:** 06/19/2018