Organization
CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BECKY A CARROLL (RECORDS CLERK)
(217) 824-4905
Entity
Organization
Contact information
Practice address
707 MCADAM DR, TAYLORVILLE, IL 62568-0438
(217) 824-9675
(217) 824-3070
Mailing address
PO BOX 438, TAYLORVILLE, IL 62568-0438
(217) 824-9675
(217) 824-3070
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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