Organization
HUMAN SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERD B PREWETT (VP & CFO)
(309) 671-8005
Entity
Organization
Contact information
Practice address
1005 NE JEFFERSON AVE, PEORIA, IL 61603-4064
(309) 671-8005
Mailing address
600 FAYETTE ST, PO BOX 1346, PEORIA, IL 61603-3610
(309) 671-8005
(309) 671-8021
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320013
IL
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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