| Children's Home And Aid | |
|
1115 East Taylor Bloomington IL 61701 | |
| (309) 827-0374 | |
| (309) 828-0745 |
| Full Name | Children's Home And Aid |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1115 East Taylor, Bloomington, Illinois |
| Authorized Official Name and Position | Mike Shaver (PRESIDENT/CEO) |
| Authorized Official Contact | 3124246801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Home And Aid 125 S Wacker Dr 14th Floor Chicago IL 60606-4424 Ph: (312) 424-6823 | Children's Home And Aid 1115 East Taylor Bloomington IL 61701 Ph: (309) 827-0374 |
| NPI Number | 1952680712 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 07/01/2022 |
| Certification Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952680712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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