Organization
PRAIRIE CENTER HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL RANEY (CEO)
(217) 693-3081
Entity
Organization
Contact information
Practice address
718 W KILLARNEY ST, URBANA, IL 61801-1015
(217) 328-4500
(217) 239-1129
Mailing address
718 W KILLARNEY ST, URBANA, IL 61801-1015
(217) 328-4500
(217) 239-1129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-0606-0001-A
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
A-0606-0004-A
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
A-0606-0007-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0606-0001-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0606-0004-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0606-0007-A
IL
324500000X
Substance Abuse Rehabilitation Facility
A-0606-0002-A
IL
Other
Enumeration date
03/07/2007
Last updated
07/21/2022
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