| Human Service Center | |
|
1005 Ne Jefferson Ave Peoria IL 61603-4064 | |
| (309) 671-8005 | |
| Not Available |
| Full Name | Human Service Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1005 Ne Jefferson Ave, Peoria, Illinois |
| Authorized Official Name and Position | Gerd B Prewett (VP & CFO) |
| Authorized Official Contact | 3096718005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Service Center 600 Fayette St Po Box 1346 Peoria IL 61603-3610 Ph: (309) 671-8005 | Human Service Center 1005 Ne Jefferson Ave Peoria IL 61603-4064 Ph: (309) 671-8005 |
| NPI Number | 1013245448 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013245448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 320013 (Illinois) | Primary |
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