Organization
COMMUNITY ELEMENTS, INC
Active
Parent organization
COMMUNITY ELEMENTS, INC.
Other names
Springfield Group Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY ELEMENTS, INC.
Authorized official
MS. SHEILA FERGUSON (CHIEF EXEC OFFICER)
(217) 398-8080
Entity
Organization
Contact information
Practice address
401 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4716
(217) 398-8080
Mailing address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831167337
TRICARE
—
Enumeration date
08/22/2008
Last updated
09/04/2013
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