Organization
TAZWOOD MENTAL HEALTH CENTER, INC.
Active
Other names
Tazwood Center for Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MINGUS LCPC, CRADC (CEO)
(309) 347-5579
Entity
Organization
Contact information
Practice address
124 S CHICAGO ST, LINCOLN, IL 62656-2719
(217) 732-6865
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
(309) 477-5552
(309) 347-4264
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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