Organization
TAZWOOD MENTAL HEALTH CENTER, INC.
Active
Parent organization
TAZWOOD MENTAL HEALTH CENTER, INC.
Other names
Tazwood Center for Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAZWOOD MENTAL HEALTH CENTER, INC.
Authorized official
N BRENDA FRANKLIN (CREDENTIALING SPECIALIST)
(309) 477-5526
Entity
Organization
Contact information
Practice address
210 W. WALNUT STREET, CANTON, IL 61520-2444
(309) 647-5240
Mailing address
210 W WALNUT ST, CANTON, IL 61520-2444
(309) 647-5240
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04132
IL
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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