Organization
HUMAN SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN CAMPEN (EXECUTIVE DIRECTOR OF FINANCE)
(309) 671-8025
Entity
Organization
Contact information
Practice address
2101 W WILLOW KNOLLS DR, PEORIA, IL 61614-1219
(309) 689-3074
Mailing address
600 FAYETTE ST, PEORIA, IL 61603-3610
(309) 671-8005
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324
—
IL
Enumeration date
11/21/2018
Last updated
06/06/2024
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