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Organization
NORTHEAST FAMILY SERVICES OF ILLINOIS, INC.
Active
Organization
NORTHEAST FAMILY SERVICES OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDHI TURNER (EXEC VP)
(978) 530-6605
Entity
Organization
Contact information
Practice address
319 E MADISON ST, SPRINGFIELD, IL 62701-1035
(978) 530-6605
Mailing address
354 MERRIMACK ST STE 395, LAWRENCE, MA 01843-1754
(978) 807-3377
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
01/05/2023
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