Organization
CHILDREN'S HOME AND AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SHAVER (PRESIDENT/CEO)
(312) 424-6801
Entity
Organization
Contact information
Practice address
1115 EAST TAYLOR, BLOOMINGTON, IL 61701
(309) 827-0374
(309) 828-0745
Mailing address
125 S WACKER DR, 14TH FLOOR, CHICAGO, IL 60606-4424
(312) 424-6823
(312) 424-6800
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
01/08/2026
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