Organization
NORTHEAST FAMILY SERVICES OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDHI TURNER (EXEC VP)
(978) 530-6605
Entity
Organization
Contact information
Practice address
319 E MADISON ST, SPRINGFIELD, IL 62701-1035
(978) 530-6605
Mailing address
354 MERRIMACK ST STE 395, LAWRENCE, MA 01843-1754
(978) 807-3377
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
01/05/2023
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