Organization
CUNNINGHAM CHILDREN'S HOME OF URBANA, IL
Active
Other names
Community Services Building
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SUZETTE PETERSON (DIRECTOR OF QUALITY IMPROVEMENT)
(217) 367-3728
Entity
Organization
Contact information
Practice address
1204 N DIVISION AVE, URBANA, IL 61801-1870
(217) 337-9057
(217) 367-5910
Mailing address
1301 N CUNNINGHAM AVE, URBANA, IL 61802-1830
(217) 367-3728
(217) 367-2896
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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