| Tmhc East Peoria Sa | |
|
111 W. Washington Street Suite 230 East Peoria IL 61611 | |
| (309) 694-6462 | |
| (309) 694-7812 |
| Full Name | Tmhc East Peoria Sa |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 111 W. Washington Street, East Peoria, 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 |
|---|---|
| Tmhc East Peoria Sa 3248 Vandever Ave Pekin IL 61554-6257 Ph: (309) 347-5522 | Tmhc East Peoria Sa 111 W. Washington Street Suite 230 East Peoria IL 61611 Ph: (309) 694-6462 |
| NPI Number | 1356466007 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356466007 | NPI | - | NPPES |
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