Organization
CUNNINGHAM CHILDREN'S HOME OF URBANA IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLIN LIVINGSTON MSW (PRESIDENT / C.E.O.)
(217) 367-3728
Entity
Organization
Contact information
Practice address
1301 N CUNNINGHAM AVE, URBANA, IL 61802-1830
(217) 367-3728
(217) 367-2896
Mailing address
PO BOX 878, URBANA, IL 61803-0878
(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
04/26/2006
Last updated
06/08/2021
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