| Center St Bloomington | |
|
603 N Center St Bloomington IL 61701-2981 | |
| (309) 829-6307 | |
| (309) 829-3254 |
| Full Name | Center St Bloomington |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 603 N Center St, Bloomington, Illinois |
| Authorized Official Name and Position | Peggy A Arizzi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3096368012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center St Bloomington 2900 W Heading Ave West Peoria IL 61604-4868 Ph: (309) 636-8012 | Center St Bloomington 603 N Center St Bloomington IL 61701-2981 Ph: (309) 829-6307 |
| NPI Number | 1730406893 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 04/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730406893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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