Organization
CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA FOX (EXECUTIVE DIRECTOR)
(309) 636-8012
Entity
Organization
Contact information
Practice address
419 NE MADISON AVE, PEORIA, IL 61603-3719
(309) 636-8012
(309) 674-1664
Mailing address
419 NE MADISON AVE, PEORIA, IL 61603-3719
(309) 636-8012
(309) 674-1664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
IL
Other
Enumeration date
08/21/2008
Last updated
01/27/2011
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