Organization
CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SIEBERT (DIRECTOR OF COMPLIANCE)
(309) 687-7440
Entity
Organization
Contact information
Practice address
2130 NORTH KNOXVILLE AVE, PEORIA, IL 61603
(309) 685-1047
(309) 687-7299
Mailing address
2130 NORTH KNOXVILLE AVE, PEORIA, IL 61603
(309) 685-1047
(309) 687-7299
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
03/27/2006
Last updated
04/11/2025
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