| Tazwood Mental Health Center, Inc. | |
|
101 S. Major Street Eureka IL 61530 | |
| (309) 694-6462 | |
| (309) 347-4264 |
| Full Name | Tazwood Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 S. Major Street, Eureka, Illinois |
| Authorized Official Name and Position | David W. Mingus (CEO) |
| Authorized Official Contact | 3093475522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tazwood Mental Health Center, Inc. 3248 Vandever Ave Pekin IL 61554-6257 Ph: (309) 347-5522 | Tazwood Mental Health Center, Inc. 101 S. Major Street Eureka IL 61530 Ph: (309) 694-6462 |
| NPI Number | 1134464316 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134464316 | NPI | - | NPPES |
Balanced Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 607 W Burton Ave, Eureka, IL 61530 Phone: 309-251-1900 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Major St, Eureka, IL 61530 Phone: 309-694-6462 Fax: 309-347-4264 |