Tazwood Mental Health Center, Inc. | |
1421 Valle Vista Blvd Pekin IL 61554 | |
(309) 347-5579 | |
(309) 347-4264 |
Full Name | Tazwood Mental Health Center, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1421 Valle Vista Blvd, Pekin, Illinois |
Authorized Official Name and Position | Dave Walter Mingus (CEO) |
Authorized Official Contact | 3093475579 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tazwood Mental Health Center, Inc. 3248 Vandever Ave Pekin IL 61554-6257 Ph: (309) 347-5522 | Tazwood Mental Health Center, Inc. 1421 Valle Vista Blvd Pekin IL 61554 Ph: (309) 347-5579 |
NPI Number | 1013186683 |
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Provider Enumeration Date | 02/27/2008 |
Last Update Date | 07/12/2018 |
Identifier | Type | State | Issuer |
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1013186683 | NPI | - | NPPES |
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