Organization
THE PAVILION FOUNDATION
Active
Other names
South Pavilion Residential Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO/SR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
809 W CHURCH ST, CHAMPAIGN, IL 61820-3320
(217) 373-1700
Mailing address
809 W CHURCH ST, CHAMPAIGN, IL 61820-3320
(217) 373-1700
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
0004689
IL
Other
Enumeration date
02/23/2009
Last updated
08/05/2010
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