Organization
COUNSELING & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN R LADING-FERGUSON (CEO)
(309) 676-2400
Entity
Organization
Contact information
Practice address
330 SW WASHINGTON ST, PEORIA, IL 61602-1417
(309) 676-2400
Mailing address
330 SW WASHINGTON ST, PEORIA, IL 61602-1406
(309) 676-2400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180-003685
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
180-003685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180-003685
—
IL
Enumeration date
03/07/2007
Last updated
09/12/2018
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