Organization
SOUTH SIDE OFFICE OF CONCERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE KAHL (PRESIDENT /CEO)
(309) 222-2560
Entity
Organization
Contact information
Practice address
202 NE MADISON AVE, PEORIA, IL 61602-1285
(309) 674-7310
(309) 674-9652
Mailing address
202 NE MADISON AVE, PEORIA, IL 61602-1285
(309) 674-7310
(309) 674-9652
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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