Organization
MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA FERGUSON (CEO)
(217) 373-2436
Entity
Organization
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2436
Mailing address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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