| Tazwood Mental Health Center, Inc. | |
|
124 S Chicago St Lincoln IL 62656-2719 | |
| (217) 732-6865 | |
| Not Available |
| Full Name | Tazwood Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 124 S Chicago St, Lincoln, Illinois |
| Authorized Official Name and Position | David Mingus (CEO) |
| Authorized Official Contact | 3093475579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tazwood Mental Health Center, Inc. 3248 Vandever Ave Pekin IL 61554-6257 Ph: (309) 477-5552 | Tazwood Mental Health Center, Inc. 124 S Chicago St Lincoln IL 62656-2719 Ph: (217) 732-6865 |
| NPI Number | 1760958797 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760958797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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