Organization
CHILDREN'S HOME & AID SOCIETY OF IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SHAVER (PRESIDENT/CEO)
(312) 424-6801
Entity
Organization
Contact information
Practice address
2133 JOHNSON RD, GRANITE CITY, IL 62040-3986
(618) 452-8900
(618) 452-9062
Mailing address
200 W MONROE ST STE 2100, CHICAGO, IL 60606-5071
(312) 424-0200
(312) 424-6884
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
004236-11
IL
Other
Enumeration date
08/14/2007
Last updated
07/01/2022
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