Organization
CAMELOT CARE CENTERS, LLC
Active
Parent organization
PATHWAYS AND COMMUNITY SUPPORT, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS AND COMMUNITY SUPPORT, LLC.
Authorized official
RONICA R PATEL (EXECUTIVE DIRECTOR)
(630) 773-1985
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE 220, SPRINGFIELD, IL 62704-7128
(217) 525-9185
Mailing address
333 W PIERCE RD STE 175, ITASCA, IL 60143-3120
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
11/06/2023
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