| Catholic Charities Of The Diocese Of Peoria | |
| 
					2900 W Heading Ave Bldg G West Peoria IL 61604-4868  | |
| (309) 636-8012 | |
| (309) 636-8097 | 
| Full Name | Catholic Charities Of The Diocese Of Peoria | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 2900 W Heading Ave, West Peoria, Illinois | 
| Authorized Official Name and Position | Peggy A Arizzi (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 3096368012 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Catholic Charities Of The Diocese Of Peoria 2900 W Heading Ave West Peoria IL 61604-4868 Ph: (309) 636-8012  | Catholic Charities Of The Diocese Of Peoria 2900 W Heading Ave Bldg G West Peoria IL 61604-4868 Ph: (309) 636-8012  | 
| NPI Number | 1720305881 | 
|---|---|
| Provider Enumeration Date | 04/29/2010 | 
| Last Update Date | 04/29/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720305881 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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Catholic Charities Of The Diocese Of Peoria Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Heading Ave, Bldg E, West Peoria, IL 61604 Phone: 309-636-8012 Fax: 309-636-8097  | |
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