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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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