Provider Demographics
NPI:1730554692
Name:MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Entity type:Organization
Organization Name:MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-588-2626
Mailing Address - Street 1:760 S POSTVILLE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:IL
Mailing Address - Zip Code:62656-2237
Mailing Address - Country:US
Mailing Address - Phone:217-735-1413
Mailing Address - Fax:217-735-5780
Practice Address - Street 1:760 S POSTVILLE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-2237
Practice Address - Country:US
Practice Address - Phone:217-735-1413
Practice Address - Fax:217-735-5780
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-03
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services