Organization
MACON COUNTY COMMUNITY MENTAL HEALTH BOARD
Active
Organization
MACON COUNTY COMMUNITY MENTAL HEALTH BOARD
Active
Other names
CFC 19
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS CROWLEY (EXECUTIVE DIRECTOR)
(217) 423-6199
Entity
Organization
Contact information
Practice address
132 S WATER ST, SUITE 604, DECATUR, IL 62523-1332
(217) 423-6199
Mailing address
132 S WATER ST, SUITE 604, DECATUR, IL 62523-1332
(217) 423-6199
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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