Organization
CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLIE SALAWAGE MS (DIRECTOR OF QUALITY IMPROVEMENT)
(309) 687-7225
Entity
Organization
Contact information
Practice address
2130 N KNOXVILLE AVE, PEORIA, IL 61603-2460
(309) 687-7225
Mailing address
2130 N KNOXVILLE AVE, PEORIA, IL 61603-2460
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/06/2010
Last updated
08/16/2013
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