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Iroquois Mental Health Center

Organization Active NPI Community/Behavioral Health Agency · Manteno, IL

NPI 1639734379 · NPPES record last updated May 8, 2019

Key facts

NPI
1639734379
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
IROQUOIS MENTAL HEALTH CENTER
Practice address
411 W Division St
Manteno, IL 60950-1065
Phone
(815) 432-5241
NPI assigned
May 8, 2019
Organization subpart
No

Authorized official

Name
Kim Fear
Title
Assoc. Executive Director
Phone
(815) 432-5241

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

National Provider Directory

Tax ID family
Iroquois Mental Health Center (31 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

411 W Division St
Manteno, IL 60950-1065

Mailing address

PO Box 322
Watseka, IL 60970-0322

Other providers in Manteno, IL

All providers in Manteno, IL · Community/Behavioral Health Agency in Illinois

Sources for this page

Verify at the official NPI Registry.