Organization
COMMUNITY ELEMENTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA FERGUSON (CHIEF EXECUTIVE OFFICER)
(217) 398-8080
Entity
Organization
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Mailing address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001015002
BLUE CROSS
IL
Enumeration date
03/09/2006
Last updated
08/28/2013
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