| Family Support & Training Center | |
|
1702 Interstate Dr Champaign IL 61822-1068 | |
| (217) 766-0492 | |
| Not Available |
| Full Name | Family Support & Training Center |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 1702 Interstate Dr, Champaign, Illinois |
| Authorized Official Name and Position | Juanita Standifer (CEO) |
| Authorized Official Contact | 2177660492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Support & Training Center Po Box 3486 Champaign IL 61826-3486 Ph: () - | Family Support & Training Center 1702 Interstate Dr Champaign IL 61822-1068 Ph: (217) 766-0492 |
| NPI Number | 1700037876 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700037876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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