Family Support & Training Center

NPI 1700037876 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1700037876
Enumeration Date 10/07/2008
Last Updated 10/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JUANITA JUANITA
Position CEO
Phone (217) 766-0492
Fax
Practice Location
1702 INTERSTATE DR
CHAMPAIGN IL, 61822-1068, US
Phone (217) 766-0492
Fax
Business Location
PO BOX 3486
CHAMPAIGN IL, 61826-3486, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Family Support & Training Center NPI is 1700037876, taxonomy code is 251S00000X Family Support & Training Center physically located at 1702 Interstate Dr, Champaign IL, 61822-1068. NPI Number 1033115704 has the healthcare provider type.

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1700037876 NPI number is provided on an as is basis without warranty of any kind. 1700037876 is maintained by the National Plan & Provider Enumeration System. The contents of Family Support & Training Center are for informational purposes only.